Individual
MISS SADE' GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1661 CABELAS PL, SUMTER, SC 29150-7903
(803) 968-1118
Mailing address
2180 LEXUS LN, SUMTER, SC 29153-7870
(803) 458-5352
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3576
SC
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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