Individual
SULAIMAN MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-6910
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-6910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3774
SC
224Z00000X
Occupational Therapy Assistant
Primary
A02406
MD
Other
Enumeration date
10/07/2016
Last updated
05/01/2026
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