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1952829491
ANTHONY FAULK
CHARLESTON, SC
NPI
1952829491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 4591)
Enumeration Date
2017-09-05
Last Update Date
2017-09-05
Business Address
ANTHONY FAULK OTR/L
1912 FRUITWOOD AVE
CHARLESTON, SC 29414-6223
Phone number: 843-729-1119
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Mailing Address
ANTHONY FAULK OTR/L
1912 FRUITWOOD AVE
CHARLESTON, SC 29414-6223
Phone number:
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