Individual
JENNIFER ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 E CURTIS ST, SIMPSONVILLE, SC 29681-2622
(864) 962-8570
Mailing address
214 E CURTIS ST, SIMPSONVILLE, SC 29681-2622
(864) 962-8570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3307
SC
Other
Enumeration date
06/21/2014
Last updated
03/03/2015
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