Individual
DINA J CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
258 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2462
(843) 374-6198
(843) 974-6180
Mailing address
258 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2462
(843) 374-6198
(843) 974-6180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2841
SC
225XN1300X
Neurorehabilitation Occupational Therapist
2841
SC
225XP0200X
Pediatric Occupational Therapist
2841
SC
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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