CHARLEE BLACK HEATON

GREENVILLE, SC
NPI1588023899
Former NameCHARLEE ELIZABETH BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  4668)
Enumeration Date2016-02-15
Last Update Date2020-03-10
Business Address
CHARLEE BLACK HEATON OTR/L
29 N ACADEMY ST
GREENVILLE, SC 29601-2629
Phone number: 864-331-1364
Mailing Address
CHARLEE BLACK HEATON OTR/L
101 SAINT LUKES CIR
EASLEY, SC 29642-7771
Phone number:
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