Individual
MRS. GALE D BOUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 926-7204
(803) 926-7206
Mailing address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 926-7204
(803) 926-7206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2715
SC
Other
Enumeration date
04/06/2010
Last updated
11/01/2011
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