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1982848404
KRISTEN LEIGH ELLENBURG
WEST COLUMBIA, SC
NPI
1982848404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 1869)
Enumeration Date
2009-04-28
Last Update Date
2009-04-28
Business Address
-- KRISTEN LEIGH ELLENBURG OTR/L
100 JOSEPH WALKER DR
WEST COLUMBIA, SC 29169
Phone number: 803-936-0310
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Mailing Address
-- KRISTEN LEIGH ELLENBURG OTR/L
3104 HEYWARD ST
COLUMBIA, SC 29205
Phone number: 803-917-3602
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