Individual
AMANDA MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 310-9365
Mailing address
1311 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 310-9365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3616
SC
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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