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1992718027
MADELINE M FETZKO
MYRTLE BEACH, SC
NPI
1992718027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 05790)
Enumeration Date
2006-08-13
Last Update Date
2022-07-20
Business Address
MADELINE M FETZKO O.T.
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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Mailing Address
MADELINE M FETZKO O.T.
210 VILLAGE CENTER BLVD STE 140
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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