Individual
MS. KAREN ANN DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2416 SUNSET BLVD, WEST COLUMBIA, SC 29169-4718
(803) 796-8024
Mailing address
101 SPRING VIEW CT, LEXINGTON, SC 29072-4109
(803) 808-8420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1910
SC
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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