Provider Demographics
NPI:1376606855
Name:BELL, PATSY POWELL (OTR)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:POWELL
Last Name:BELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 NORTHBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3710
Mailing Address - Country:US
Mailing Address - Phone:843-343-2436
Mailing Address - Fax:843-766-0698
Practice Address - Street 1:1060 NORTHBRIDGE DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3710
Practice Address - Country:US
Practice Address - Phone:843-343-2436
Practice Address - Fax:843-766-0698
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC751225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH0254Medicaid