Individual
MR. JAMES MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(037) 510-4868
Mailing address
2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012809
IL
Other
Enumeration date
02/13/2020
Last updated
06/04/2024
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