Individual
MR. SAMUEL TRAVIS MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
100 HEALTHY WAY, SUITE 1110, ANDERSON, SC 29621-7915
(864) 261-3099
(864) 261-6617
Mailing address
1483 TOBIAS GADSON BLVD, SUITE 205B, CHARLESTON, SC 29407-4641
(843) 766-6494
(843) 766-6495
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3437
SC
Other
Enumeration date
12/20/2011
Last updated
01/25/2016
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