Individual
MS. JANE D VANWYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 TWO NOTCH RD, SUITE 24, COLUMBIA, SC 29223-4304
(803) 736-5540
Mailing address
31 BEE RIDGE CIR, COLUMBIA, SC 29223-6702
(803) 788-6195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
620
SC
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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