Brooke Nelson-mangum OT

NPI 1275825325 - Occupational Therapist - 225X00000X

NPI Details
NPI 1275825325
Gender Female
Enumeration Date 05/09/2011
Last Updated 05/09/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
872 SINGLETON RIDGE RD
CONWAY SC, 29526-1101, US
Phone (843) 347-3050
Fax (843) 347-0533
Business Location
2222 SULLIVAN TRL
EASTON PA, 18040-7958, US
Phone (610) 991-2034
Fax (610) 438-2046
Toxanomy
Taxonomy Code 225X00000X
License State South Carolina
License Number 3135
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According to our database, Brooke Nelson-mangum OT NPI is 1275825325, taxonomy code is 225X00000X and license number is 3135, license state is located at South Carolina. Brooke Nelson-mangum OT physically located at 872 Singleton Ridge Rd, Conway SC, 29526-1101. NPI Number Brooke Nelson-mangum OT has the Individual type.

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1275825325 NPI number is provided on an as is basis without warranty of any kind. 1275825325 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke Nelson-mangum OT are for informational purposes only.