NPI 1063795318
Samantha Mitchell, COTAL
Practice location
- Address
- 634 Bultman Dr STE B, Sumter, SC 29150-2597
- Phone
- (803) 757-1201
- Mailing address
- 20 Mesquite Cv, Sumter, SC 29153-8404
Registered specialties (2)
Personal Care Attendant
Primary
Occupational Therapy Assistant
Registry record
- NPI
- 1063795318
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Sep 2011
- Record last updated
- 29 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.