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1023797446
REBECCA SULLIVAN
CHARLESTON, SC
NPI
1023797446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2658)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
REBECCA SULLIVAN COTA/L
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407-4248
Phone number: 843-337-8811
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Mailing Address
REBECCA SULLIVAN COTA/L
1193 MIDVALE AVE
CHARLESTON, SC 29412-5211
Phone number: 843-337-8811
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