Individual
MORGAN SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
762 NEW HOPE RD, POMARIA, SC 29126-9305
(803) 944-5737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5550
SC
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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