Individual
MRS. ELSA SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
HERITAGE PRO, 1 STILL HOPE DRIVE, WEST COLUMBIA, SC 29169
(803) 796-6490
Mailing address
1406 KNOB HILL CIR, EVANS, GA 30809-6678
(706) 564-5046
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4974
SC
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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