Individual provider · Type 1 NPI

Kel Z. Gaskin Prock, MSR, OTR L

Occupational Therapist · Myrtle Beach, SC

NPI number 1003034331 Active

Practice location

3603 Kingsley Dr
Myrtle Beach, SC 29588-7713

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200X2713 (SC)
Occupational Therapist Primary 225X00000X2713 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003034331

Kel Z. Gaskin Prock, MSR, OTR L's National Provider Identifier is 1003034331, issued on Apr 23, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 31, 2023.