Individual
ALEPHA L JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
118 WADDINGTON TRACE, GOOSE CREEK, SC 29445
(866) 571-2700
Mailing address
118 WADDINGTON TRACE, GOOSE CREEK, SC 29445
(866) 571-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2700
SC
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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