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1326518697
VENTRICE SIMONE WILLIAMS
COLUMBIA, SC
NPI
1326518697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC OTA.4902)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
VENTRICE SIMONE WILLIAMS COTA/L
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
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Mailing Address
VENTRICE SIMONE WILLIAMS COTA/L
1155 CLEMSON FRONTAGE RD APT 811
COLUMBIA, SC 29229-8238
Phone number: 803-971-1455
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