Individual
MISS SHERICA PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
214 FAIRCREST WAY, COLUMBIA, SC 29229-9243
(803) 234-5620
Mailing address
214 FAIRCREST WAY, COLUMBIA, SC 29229-9243
(803) 234-5620
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3115
SC
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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