Teresa Mims

NPI #1154442804 in Manning, South Carolina

Provider Information

NPI Number: 1154442804
Entity Type: Individual
Name: Teresa Mims
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant
Enumeration Date: Apr 2, 2007
Last Updated: Sep 10, 2015

Practice Location

Address: 1026 RADIUS ST
City: Manning
State: South Carolina
ZIP Code: 29102-7836
Phone: (843) 598-9306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary
Occupational Therapist	225X00000X

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Organizations

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