Individual
MISS LESLIE DARA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1941 SAVAGE RD STE 400C, CHARLESTON, SC 29407-4791
(866) 571-2700
(877) 571-2124
Mailing address
80 BRIARVIEW CIR, GREENVILLE, SC 29615-2165
(864) 561-3748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2679
SC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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