Individual
DR. JENNIFER GRACE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1795 DR FRANK GASTON BLVD, ROCK HILL, SC 29732-1190
(803) 326-3500
Mailing address
216 AVERY JONES LN APT 308, ROCK HILL, SC 29730-0162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6577
SC
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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