Individual
KELLY BRACKMAN SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3886
SC
Other
Enumeration date
11/04/2010
Last updated
04/25/2012
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