Individual
ROGER PAUL GUILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
(803) 741-1914
Mailing address
109 BIRCH HOLLOW DR, COLUMBIA, SC 29229-8207
(803) 865-4077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1816
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1474
—
SC
Enumeration date
09/21/2006
Last updated
07/09/2007
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