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Contact Information

TARA C HENDERSON
1215 WILDEWOOD DOWNS CIRCLE
COLUMBIA, SC29223
 Phone: 803-788-5115
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TARA C HENDERSON · (Female)

NPI Number 1245873751
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2019
Last updated 11/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # OT010579
  • SC License # 5679
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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