Individual
MADELINE M FETZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6305
SC
Other
Enumeration date
08/13/2006
Last updated
11/19/2024
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