Provider Demographics
NPI:1326887381
Name:LENKER, CHARLENE G (OTR)
Entity type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:G
Last Name:LENKER
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 1:663 ANSON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7435
Mailing Address - Country:US
Mailing Address - Phone:803-238-5447
Mailing Address - Fax:
Practice Address - Street 1:3147 SUMTER HWY
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-9090
Practice Address - Country:US
Practice Address - Phone:803-478-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1233225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist