Individual
MRS. KIMBERLI PETERS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2884
SC
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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