Individual
MS. YOLANDA RAYCHEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1018 N GUIGNARD DR, SUMTER, SC 29150
(803) 773-5567
(803) 775-4293
Mailing address
1018 N GUIGNARD DR, SUMTER, SC 29150
(803) 773-5567
(803) 775-4293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/11/2014
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