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1770125221
JILL HAFENBREIDEL
MYRTLE BEACH, SC
NPI
1770125221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: SC 340)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
JILL HAFENBREIDEL OTR/L
4761 HIGHWAY 501 STE 1
MYRTLE BEACH, SC 29579-9457
Phone number: 843-236-9751
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Mailing Address
JILL HAFENBREIDEL OTR/L
PO BOX 1523
LITTLE RIVER, SC 29566-1523
Phone number:
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