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Carson Castor

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

NPI number1962065201
StatusActive
Last updated in NPPESApr 22, 2019

Details

NPI
1962065201
Entity type
Individual (NPI-1)
Name
Carson Castor
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2019
Last updated
Apr 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5388SCYes

Practice location

201 Brightwater Dr
Myrtle Beach, SC 29579-8298

Phone 843-236-3579

Mailing address

2840 Choppee Rd
Georgetown, SC 29440-7270

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