Individual
CHERYL LYNN GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 HOME AVE, DARLINGTON, SC 29532-7625
(843) 393-2867
Mailing address
320 W LYDIA HWY, HARTSVILLE, SC 29550-6406
(941) 666-0438
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5065
SC
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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