Individual
SHELDON CAROLE SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
128 GARNER RD, SPARTANBURG, SC 29303-3149
(864) 591-3484
(864) 641-7650
Mailing address
PO BOX 170606, SPARTANBURG, SC 29301-0030
(864) 591-3484
(864) 641-7650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6356
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6356
SC LICENSE
SC
Enumeration date
12/02/2021
Last updated
12/02/2021
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