Individual
CARSON CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8298
(843) 236-3579
Mailing address
2840 CHOPPEE RD, GEORGETOWN, SC 29440-7270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5388
SC
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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