Individual
MS. DENETRICE OLIVIA BERRY-BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1 MARTHA FRANKS DR, LAURENS, SC 29360-1772
(864) 984-4541
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3099
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3099
UPIN,MEDICARE, MEDICAID AND OTHERS
SC
Enumeration date
11/25/2020
Last updated
11/25/2020
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