Individual
MARY KELLY MCFALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1316 WICKS AVE, CHARLESTON, SC 29412-5232
(843) 303-3367
Mailing address
1316 WICKS AVE, CHARLESTON, SC 29412-5232
(843) 303-3367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SC
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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