Individual
AMY HAUGHWOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
Mailing address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4409
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571100428
TAX IDENTIFICATION NUMBER
SC
Enumeration date
03/10/2015
Last updated
03/10/2015
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