Individual
KELLY MARIE VANVLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1885 RIFLE RANGE RD, MOUNT PLEASANT, SC 29464-9440
(843) 856-4724
Mailing address
2831 TRADEWIND DR, MOUNT PLEASANT, SC 29466-7990
(843) 971-8055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1116
SC
Other
Enumeration date
03/13/2007
Last updated
05/02/2025
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