Individual provider · Type 1 NPI

Mary Ericson Waller, OT

Occupational Therapist · West Columbia, SC

NPI number 1649523457 Active

Practice location

2720 Sunset Blvd
West Columbia, SC 29169-4810

Call (803) 791-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X640 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1649523457

Mary Ericson Waller, OT's National Provider Identifier is 1649523457, issued on Oct 17, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Columbia, SC. The record was last updated on Oct 17, 2012.