Individual
CARLA BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
109 BEE STREET, CHARLESTON, SC 29401
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
18083
SC
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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