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Individual

MRS. ELIZABETH WHITTINGTON MACNAUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
715 9TH ST, WEST COLUMBIA, SC 29169-7169
(803) 600-8749
Mailing address
12 SWAINSON CT, IRMO, SC 29063-7808
(803) 553-3707

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2863
SC

Other

Enumeration date
02/07/2013
Last updated
02/07/2013
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