NPI 1003034331

Kel Z Gaskin Prock, MSROTRL

Practitioner Occupational Therapist Myrtle Beach, SC

Practice location

Address: 3603 Kingsley Dr, Myrtle Beach, SC 29588-7713
Phone: (843) 424-5450

Registered specialties (2)

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 2713 (SC)

Other Occupational Therapist providers in South Carolina →

Pediatric Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence 2713 (SC)

Registry record

NPI: 1003034331
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2007
Record last updated: 31 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.