MICHAELA CORNFORTH LONG

WEST COLUMBIA, SC
NPI1568946929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  5365)
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2018-09-21
Last Update Date2023-12-15
Business Address
MICHAELA CORNFORTH LONG OTR
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
Mailing Address
MICHAELA CORNFORTH LONG OTR
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: