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Individual

ERIC B MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
727 SE MAIN ST, STE 200, SIMPSONVILLE, SC 29681-3247
(864) 454-6670
Mailing address
103 N MAIN ST, STE 300, GREENVILLE, SC 29601-2796
(864) 528-5700
(864) 528-5701

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
580
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH0088
SC
Enumeration date
03/04/2006
Last updated
11/21/2012
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