Individual
DEBBIE KAY NUTTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1273 REMOUNT RD, NORTH CHARLESTON, SC 29406-3439
(843) 200-1878
(843) 688-5821
Mailing address
177 N SHELMORE BLVD, MOUNT PLEASANT, SC 29464-6668
(843) 670-4416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2212
SC
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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