Individual
MRS. DENISE GAMBLE WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
221 BRIDLERIDGE RD, LEXINGTON, SC 29073-7322
(803) 513-5178
Mailing address
221 BRIDLERIDGE RD, LEXINGTON, SC 29073-7322
(803) 513-5178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114434
TX
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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