Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 3094 | SC |
NPI | 1023379690 |
---|---|
Provider Name | Ms. Kimberly Ramsey |
First Address | West Columbia, SC 29169-3421 |
Second Address | West Columbia, SC 29169-3421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 31/05/2012 |