Individual
MS. PRINCESS FAYETTE NAZZERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4020 ULMER RD APT 102, COLUMBIA, SC 29209-3306
(803) 955-6172
Mailing address
4020 ULMER RD APT 102, COLUMBIA, SC 29209-3306
(803) 955-6172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3221
SC
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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