Individual
MS. CARMEN WILLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1710B RICHLAND ST, COLUMBIA, SC 29201-2636
(803) 253-6223
(803) 253-6224
Mailing address
2832 BURNEY DR, COLUMBIA, SC 29205-3465
(803) 256-3755
(803) 256-2903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2060
SC
Other
Enumeration date
09/01/2006
Last updated
08/18/2010
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