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1831796994
MATTIE DEVIN ELLIOTT
SUMMERVILLE, SC
NPI
1831796994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5164)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
MATTIE DEVIN ELLIOTT COTA/L
1801 OLD TROLLEY RD STE 203
SUMMERVILLE, SC 29485-8283
Phone number: 843-594-3032
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Mailing Address
MATTIE DEVIN ELLIOTT COTA/L
1531 GATOR TRAK
CHARLESTON, SC 29414-9146
Phone number: 843-621-5210
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