Individual
MR. ANTHONY PAUL EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
208 EASCOTT PL STE 100, COLUMBIA, SC 29229-5500
(803) 250-1403
Mailing address
1214 PRIMROSE DR, BLYTHEWOOD, SC 29016
(864) 357-1587
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3418
SC
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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