Individual
SANDRELLA MICHELLE BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
223 GREEN ROSE RD, COLUMBIA, SC 29229-9138
(803) 596-9828
Mailing address
223 GREEN ROSE RD, COLUMBIA, SC 29229-9138
(803) 596-9828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2649
SC
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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