Individual
KERRI NICOLE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1305 S SUBER RD, GREER, SC 29650-0944
(864) 989-4700
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2500
SC
225X00000X
Occupational Therapist
OT003192
GA
Other
Enumeration date
11/06/2006
Last updated
01/07/2025
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