Kel Z Gaskin Prock
Occupational Therapist
335 Four Mile Road
Conway
, South Carolina 29528
Kel Z Gaskin Prock
Occupational Therapist
335 Four Mile Road
Conway
, South Carolina 29528
(843) 448-6700
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Kel Z Gaskin Prock
- Po Box 260005
- Conway, SC
- Zip : 29528
- Phone : (843) 448-6700
Second Address
- Kel Z Gaskin Prock
- 335 Four Mile Road
- Conway, SC
- Zip : 29528
- Phone : (843) 448-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2713 | SC |
National Provider Identifier
| NPI | 1003034331 |
|---|---|
| Provider Name | Kel Z Gaskin Prock |
| First Address | Conway, SC 29528 |
| Second Address | Conway, SC 29528 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2007 |
| Last Update Date | 04/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.