AUSTIN WALDROP

FOUNTAIN INN, SC
NPI1184221947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  5086)
Enumeration Date2020-10-05
Last Update Date2020-10-05
Business Address
AUSTIN WALDROP COTA/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-399-2674
Mailing Address
AUSTIN WALDROP COTA/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-399-2674
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