Individual
KELSEY CORRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(843) 345-1061
Mailing address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1232
SC
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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