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1174152813
EBONI BROOKE COPELAND
COLUMBIA, SC
NPI
1174152813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2020-04-05
Last Update Date
2020-04-05
Business Address
EBONI BROOKE COPELAND OTR/L
2514 FARAWAY DR
COLUMBIA, SC 29223-3969
Phone number: 803-865-1999
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Mailing Address
EBONI BROOKE COPELAND OTR/L
PO BOX 211111
COLUMBIA, SC 29221-6111
Phone number: 803-466-4017
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