Individual
MS. JODI ANNE DRESMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
614 WOODBINE CT, MYRTLE BEACH, SC 29579-1747
(843) 497-3000
Mailing address
614 WOODBINE CT, MYRTLE BEACH, SC 29579-1747
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2652
OT LICENSE
SC
Enumeration date
10/05/2007
Last updated
10/05/2007
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