Individual
MARY HOLLAND REGENOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1924 MAIN ST, COLUMBIA, SC 29201-2412
(803) 434-2300
(803) 254-2611
Mailing address
3700 FOREST DR, SUITE 200, COLUMBIA, SC 29204-4010
(803) 227-8118
(803) 227-8218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3226
SC
Other
Enumeration date
02/16/2007
Last updated
06/22/2015
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