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Individual

ELIZABETH HUMANITZKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1127 QUEENSBOROUGH BLVD STE 104, MT PLEASANT, SC 29464-5431
(843) 216-0290
Mailing address
PO BOX 1753, MT PLEASANT, SC 29465-1753

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4807
SC
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
09/09/2016
Last updated
02/05/2020
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