Waller, Mary Ericson

Waller, Mary Ericson is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Waller, Mary Ericson can be contacted via phone (803) 791-2000.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 791-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 640 South Carolina

Profile Details

NPI number 1649523457
LBN Legal business name Waller, Mary Ericson
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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