Individual
SEBASTIAN J CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 NEARVIEW AVE, COLUMBIA, SC 29223-3614
(907) 887-1223
Mailing address
1709 NEARVIEW AVE, COLUMBIA, SC 29223-3614
(907) 887-1223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2924
SC
Other
Enumeration date
10/01/2008
Last updated
10/25/2011
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