Individual
MRS. INGRID HERNANDEZ LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
414 SUMMIT DR, GREENVILLE, SC 29609-4821
(864) 255-4400
Mailing address
414 SUMMIT DR, GREENVILLE, SC 29609-4821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3378
SC
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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