Individual
MRS. JEANINE GAY WEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
519 S. DARGAN ST., FLORENCE, SC 29506
(843) 669-4141
Mailing address
4120 PELICAN LANE, FLORENCE, SC 29501
(843) 665-2365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
253
SC
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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