Individual
JAKE MINASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
567 N OKATIE HWY, RIDGELAND, SC 29936-5078
(843) 645-4000
Mailing address
135 OLD SALEM RD APT 15E, BEAUFORT, SC 29902-5153
(843) 290-3888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6659
SC
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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