Individual
PERCY GRATUITO ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 WESCOTT BLVD, SUMMERVILLE, SC 29485-9043
(843) 486-2712
(843) 879-9808
Mailing address
362 OLD GRADE RD, MONCKS CORNER, SC 29461-9491
(843) 460-7870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2610
SC
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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