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Individual

JENNIFER L COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5932
(803) 926-7204
Mailing address
1311 AUGUSTA RD, WEST COLUMBIA, SC 29169-6320
(803) 926-7204

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2387
SC

Other

Enumeration date
08/15/2006
Last updated
09/18/2017
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