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Individual

LAURA KAY BRANHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1018 N GUIGNARD DR, SUMTER, SC 29150-2423
(803) 773-5567
Mailing address
1018 N GUIGNARD DR, SUMTER, SC 29150-2423
(803) 773-5567

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3786
SC

Other

Enumeration date
05/28/2018
Last updated
05/28/2018
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