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1023596905
KELLIE ANNE BALKO
IRMO, SC
NPI
1023596905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 1801)
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
KELLIE ANNE BALKO OTR/L
317 ENGLISH LEGEND DR
IRMO, SC 29063-8960
Phone number: 803-240-1461
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Mailing Address
KELLIE ANNE BALKO OTR/L
317 ENGLISH LEGEND DR
IRMO, SC 29063-8960
Phone number: 803-240-1461
Copy
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