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1740988815
TATYANA SHOSTAK
SPARTANBURG, SC
NPI
1740988815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 6715)
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
TATYANA SHOSTAK OTR
110 SUMMIT HILLS DR
SPARTANBURG, SC 29307-1532
Phone number: 864-591-2222
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Mailing Address
TATYANA SHOSTAK OTR
2012 SHINNECOCK PT APT 204
SPARTANBURG, SC 29301-6617
Phone number: 413-302-4237
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