STACI GORMLEY

CHARLESTON, SC
NPI1083626410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  2494)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
STACI GORMLEY OT
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
STACI GORMLEY OT
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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