Individual
KARLI DUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 AMIDALA LN, SUMTER, SC 29153-7107
(225) 955-8754
Mailing address
2760 AMIDALA LN, SUMTER, SC 29153-7107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3534
SC
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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