Individual
ALICIA KERRI FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2230 ASHLEY CROSSING DR, CHARLESTON, SC 29414-5700
(843) 766-5228
Mailing address
1691 DEXTER LN, CHARLESTON, SC 29412-8660
(843) 343-2003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.3357
SC
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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