Individual
TERRA REGINA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
624 GIBSON RD, LEXINGTON, SC 29072-2432
(803) 422-2058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7810
SC
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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