Individual
MRS. CONNIE MILLER SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, LMT
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
1057 HILTON POINT RD, CHAPIN, SC 29036-9792
(803) 345-8819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1931
SC
225700000X
Massage Therapist
Primary
MAS . 3908
SC
Other
Enumeration date
10/24/2006
Last updated
09/11/2025
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