Individual
LEXIE DEIDRE SWAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4761 HIGHWAY 501 STE 1, MYRTLE BEACH, SC 29579-9457
(347) 891-3151
Mailing address
2051 BRIDGE VIEW CT, NORTH MYRTLE BEACH, SC 29582-9277
(330) 697-0570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6107
SC
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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