Individual
TERROLYN KISSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3376
SC
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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