Individual
LORETTA BROOKE BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1261 E HIGHWAY 501, CONWAY, SC 29526-8362
(843) 655-8654
Mailing address
1261 E HIGHWAY 501, CONWAY, SC 29526-8362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4895
SC
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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