Individual
DESPINA ANASTASIA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 996-4782
Mailing address
181 TOWN CREEK RD, AIKEN, SC 29803-5841
(803) 642-0700
(803) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5282
SC
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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