Individual
MISS STEPHANIE SABRINA KINARD-SUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1002 STEEPLE RIDGE RD, IRMO, SC 29063-8041
(803) 271-2364
(803) 708-5618
Mailing address
113 WESTSHIRE PL, COLUMBIA, SC 29210-4663
(706) 951-8052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4744
SC
Other
Enumeration date
06/20/2007
Last updated
03/29/2017
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