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Individual

MRS. HEATHER RENEE FAYARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
427 HAYFIELD LN, LEXINGTON, SC 29072-2775
(803) 356-9458

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2340
SC

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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