Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 715 | SC |
NPI | 1275787772 |
---|---|
Provider Name | Mrs. Julie Rountree Durnford |
First Address | Lexington, SC 29072-2363 |
Second Address | Lexington, SC 29072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 27/10/2020 |