Anderson, Mary Ravenel

Anderson, Mary Ravenel is an individual health care provider with primary practice located at 1941 Savage Road Ste 300A, Charleston SC 29407. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Mary Ravenel can be contacted via phone (843) 402-1495.

Contact Information

Primary practice address
1941 Savage Road Ste 300A Charleston SC 29407
Phone: (843) 402-1495
Fax: (843) 402-1285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1740230283
LBN Legal business name Anderson, Mary Ravenel
Credentials OTLR
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 4th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740230283 NPPES
South Carolina MEDICAID GP1753
South Carolina MEDICAID TH0691

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