person
Ms. Latoya Samuel, HLPC,RC,RCI
Prosthetic/Orthotic Supplier in Columbia, South Carolina
NPI 1497330666

Latoya Samuel is a Prosthetic/Orthotic Supplier based in Columbia, SC. Latoya Samuel practices in Columbia, SC and has the professional credentials of HLPC,RC,RCI. The NPI Number for Latoya Samuel is 1497330666 and holds a License No. 61285 (South Carolina).

The current practice location address for Latoya Samuel is 1220 Bower Pkwy Ste E5, Columbia, SC and can be reached out via phone at 803-206-9568.

Location: 1220 Bower Pkwy Ste E5, Columbia, SC, 29212-3729
person
Provider Profile Details
NPI Number
1497330666
Provider Name
Latoya Samuel
Credential
HLPC,RC,RCI
Provider Entity Type
Individual
Gender
Female
Address
1220 Bower Pkwy Ste E5, Columbia, SC, 29212-3729
Phone Number
803-206-9568
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61285 01 SC COSMETOLOGY
35267 01 SC COSMETOLOGY INSTRUCTOR
7247 01 SC HAIR LOSS PRACTIONER CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
1220 Bower Pkwy Ste E5
City
State
Zip
29212-3729
Phone Number
803-206-9568
Fax Number
person
Provider Business Mailing Address Details
Address
1220 Bower Pkwy Ste E5
City
State
Zip
29212-3729
Phone Number
803-206-9568
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
(South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
61285 (South Carolina)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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