MARY ERICSON WALLER

WEST COLUMBIA, SC
NPI1649523457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  640)
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
Mrs. MARY ERICSON WALLER OT
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
Mailing Address
Mrs. MARY ERICSON WALLER OT
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
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