Individual
JENNIFER MICHELE DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
204 FAIRCREST WAY, COLUMBIA, SC 29229-9243
(803) 231-9443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3016
SC
225X00000X
Occupational Therapist
6352
NC
225X00000X
Occupational Therapist
OT004496
GA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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