Individual
MR. ADAM RUSSELL CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
501 FOREST LN, CLEMSON, SC 29631-2621
(864) 654-2001
Mailing address
501 FOREST LN, CLEMSON, SC 29631-2621
(864) 654-2001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2571
—
SC
Enumeration date
11/05/2012
Last updated
07/27/2016
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