Individual
DESTINY AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-4500
(910) 777-3906
Mailing address
1333 CREEK BEND TER, WILMINGTON, NC 28405-1566
(910) 777-3906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5606
SC
Other
Enumeration date
11/17/2023
Last updated
12/15/2023
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