Individual
ADDIE ELIZABETH BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
3039 OKATIE HWY, BLUFFTON, SC 29909-5101
(843) 705-8220
Mailing address
1033 WOODLAKE LN, TEGA CAY, SC 29708-8559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6310
SC
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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