Individual provider · Type 1 NPI
Samuel Travis Mattox, OTR L
Hand Occupational Therapist · Anderson, SC
NPI number
1750650768
Active
Practice location
100 Healthy Way, Suite 1110
Anderson, SC 29621-7915
Fax (864) 261-6617
Mailing address
1483 Tobias Gadson Blvd, Suite 205B
Charleston, SC 29407-4641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hand Occupational Therapist Primary | 225XH1200X | 3437 (SC) |
Hand Occupational Therapist: Definition to come...
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About NPI 1750650768
Samuel Travis Mattox, OTR L's National Provider Identifier is 1750650768, issued on Dec 20, 2011. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Anderson, SC. The record was last updated on Jan 25, 2016.