KELLY DARLING QUACKENBUSH

LAURENS, SC
NPI1427349067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  2758)
Enumeration Date2011-05-01
Last Update Date2011-08-08
Business Address
Ms. KELLY DARLING QUACKENBUSH COTA/L
379 PINEHAVEN STREET EXT
LAURENS, SC 29360-2672
Phone number: 864-984-6584
Mailing Address
Ms. KELLY DARLING QUACKENBUSH COTA/L
1409 ROPER MOUNTAIN RD APT. 269
GREENVILLE, SC 29615-5101
Phone number: 864-325-7073
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