Individual
MR. IAN MICHAEL SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 LEMON GRASS CT, HILTON HEAD ISLAND, SC 29928-3022
(843) 341-7300
Mailing address
101 SPRING LAKES DR APT 401, SAVANNAH, GA 31407-3509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
.5749
SC
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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