Individual
CONSUELA T. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4405 FOREST DR, COLUMBIA, SC 29206-3103
(803) 455-7373
Mailing address
PO BOX 2982, WEST COLUMBIA, SC 29171-2982
(803) 455-7373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2435
SC
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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