Individual
MRS. JENNIFER ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 RABON RD, COLUMBIA, SC 29203-8903
(803) 419-6646
(803) 419-6626
Mailing address
1732 VILLAGE PARK DR, ORANGEBURG, SC 29118-2457
(803) 534-7600
(803) 534-7636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3213
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3213
SC LICENSE #3213
SC
Enumeration date
04/14/2009
Last updated
04/14/2009
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