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1134891682
JACLYN MARIE PRENDERGAST
CHARLESTON, SC
NPI
1134891682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 6306)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
Miss JACLYN MARIE PRENDERGAST OTR/L
1640 ASHLEY HALL RD
CHARLESTON, SC 29407-3824
Phone number: 843-277-2411
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Mailing Address
Miss JACLYN MARIE PRENDERGAST OTR/L
58 SUNSET TER
HIGHLAND MILLS, NY 10930-2638
Phone number: 845-774-6514
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