Individual
SUSAN M. SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
811 W MAIN ST STE 205, LEXINGTON, SC 29072-2500
(803) 358-6115
(803) 358-6117
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
860
SC
Other
Enumeration date
08/24/2007
Last updated
11/11/2020
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