Individual
JASMINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 MAXWELL AVE STE 312, GREENWOOD, SC 29646-2641
(864) 229-7529
Mailing address
513 CHURCH STREET NORTH EXT, NINETY SIX, SC 29666-8728
(864) 992-6586
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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