SearchSouth Carolina224Z00000X

Reginald Harry, COTA/L

NPI 1124684477 · on the registry since 2019 · sole proprietor

Practice

Address
117 Bellfield Rd
Ridgeway, SC 29130
Phone
(803) 337-2257
Fax
(803) 337-2255
Organisation at this address
Fairfield Home, Llc
Blue Ridge In The Fields Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 2514 Faraway Dr, Columbia, SC
  • 880 Carolina Ave, Sumter, SC

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina