Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant |
NPI | 1023427515 |
---|---|
Provider Name | Mrs. Erin Michelle Caufield |
First Address | Sumter, SC 29150 |
Second Address | Sumter, SC 29150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2014 |
Last Update Date | 08/08/2014 |