Individual
MRS. TARA FENNER HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
110 CLINTON SCHOOL RD, CLINTON ELEM SCHOOL, LANCASTER, SC 29720
(803) 285-5395
(803) 283-3998
Mailing address
110 CLINTON SCHOOL RD, LANCASTER, SC 29720
(803) 285-5395
(803) 283-3998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2787
SC
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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