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1972962520
ASHLEY SOUSA
MYRTLE BEACH, SC
NPI
1972962520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 4676)
Enumeration Date
2016-02-10
Last Update Date
2019-02-04
Business Address
ASHLEY SOUSA MOT
4761 HIGHWAY 501 SUITE 1
MYRTLE BEACH, SC 29579-9457
Phone number: 843-455-7505
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Mailing Address
ASHLEY SOUSA MOT
PO BOX 1523
LITTLE RIVER, SC 29566-1523
Phone number:
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