Individual
CRYSTAL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5234 CIRCLE DR, COLUMBIA, SC 29206
(866) 571-2700
Mailing address
5234 CIRCLE DR, COLUMBIA, SC 29206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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