Individual
MR. JOHN CHARLES ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4500 STUART STREET, MONCRIEF ARMY HOSP/CREDENTIALS, COLUMBIA, SC 29207-5720
(803) 751-2618
(803) 751-2689
Mailing address
3728 LEGGE CT APT A, COLUMBIA, SC 29206-5518
(786) 208-6851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10947
FL
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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