Individual
MISS RACHAEL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
379 PINEHAVEN ST EXT, LAURENS, SC 29360
(864) 984-6584
Mailing address
313 CARDINAL DR, GREENVILLE, SC 29609-6812
(864) 593-8515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2896
SC
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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