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Anthony Faulk, OTR/L

Occupational Therapist in Charleston, SC. Individual provider (NPI-1).

NPI number1952829491
StatusActive
Last updated in NPPESSep 5, 2017

Details

NPI
1952829491
Entity type
Individual (NPI-1)
Name
Anthony Faulk
Credential
OTR/L
Sex
Male
Sole proprietor
No
Enumeration date
Sep 5, 2017
Last updated
Sep 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist4591SCYes

Practice location

1912 Fruitwood Ave
Charleston, SC 29414-6223

Phone 843-729-1119

Mailing address

1912 Fruitwood Ave
Charleston, SC 29414-6223

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