Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4594 | SC |
N | 225XH1200X | Occupational Therapist - Hand | 4594 | SC |
NPI | 1174993729 |
---|---|
Provider Name | Rachel Mink Spencer |
First Address | North Charleston, SC 29406-9171 |
Second Address | Summerville, SC 29486-7911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2015 |
Last Update Date | 17/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7000950004 | ARCIS HEALTHCARE, LLC GROUP MEDICARE DME PTAN (01) | SC |
7000950005 | ARCIS HEALTHCARE, LLC GROUP MEDICARE DME PTAN (01) | SC |
D043 | ARCIS HEALTHCARE GROUP MEDICARE PTAN (01) | SC |
GP6337 | ARCIS HEALTHCARE GROUP MEDICAID NO. (01) | SC |
P01555383 | RAILROAD MEDICARE (01) | SC |
TH3009 | (05) | SC |