Individual
ASHLEY HOPE MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Mailing address
414 S PINE ST, WALHALLA, SC 29691-2146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2739
SC
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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