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Individual

KILIAN BALLARD PERDUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
67 CRYSTAL LAKE DR, NORTH AUGUSTA, SC 29841-3699

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2448
SC

Other

Enumeration date
04/24/2019
Last updated
04/24/2019
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