Individual
MRS. ERIN GRAVINO JEFFORDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 351-3424
Mailing address
731 POLO RD, COLUMBIA, SC 29223-4462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005879
VA
225X00000X
Occupational Therapist
Primary
3590
SC
Other
Enumeration date
01/15/2014
Last updated
11/05/2017
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