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Individual

ANNA MORTENSEN HARMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1036 KINLEY RD STE B, IRMO, SC 29063-9632
(803) 787-3033
Mailing address
1036 KINLEY RD STE B, IRMO, SC 29063-9632
(803) 787-3033

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4034
SC

Other

Enumeration date
11/05/2012
Last updated
08/08/2024
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