Individual
ADRIELLE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 788-5115
Mailing address
731 POLO RD, COLUMBIA, SC 29223-4462
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3285
SC
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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