Individual
RANDI JO COGSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
221 HERITAGE TRL, LEXINGTON, SC 29072-3533
(803) 951-0733
Mailing address
221 HERITAGE TRL, LEXINGTON, SC 29072-3533
(803) 951-0733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
370
SC
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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