Individual
REANASHIA ANN JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 TOKEENA RD, SENECA, SC 29678-1744
(864) 882-1642
Mailing address
PO BOX 173, CENTRAL, SC 29630-0173
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3572
SC
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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