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1598034977
ALTERREASE J KORNEGAY
CHARLESTON, SC
NPI
1598034977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2856)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
ALTERREASE J KORNEGAY COTA/L, BHS
1407 ASHLEY RIVER RD
CHARLESTON, SC 29407-5305
Phone number: 843-769-0663
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Mailing Address
ALTERREASE J KORNEGAY COTA/L, BHS
1407 ASHLEY RIVER RD
CHARLESTON, SC 29407-5305
Phone number: 843-769-0663
Copy
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