Kel Z Gaskin Prock, MSR, OTR L

NPI #1003034331 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1003034331
Entity Type: Individual
Name: Kel Z Gaskin Prock, MSR, OTR L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MSR, OTR L
Enumeration Date: Apr 23, 2007
Last Updated: Jul 31, 2023

Practice Location

Address: 3603 KINGSLEY DR
City: Myrtle Beach
State: South Carolina
ZIP Code: 29588-7713
Phone: (843) 424-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Occupational Therapist	225X00000X	Primary

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