Basic Information
Provider Information
NPI: 1083913818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHARF
FirstName: STEPHANIE
MiddleName: KAYLOR
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3010 FARROW RD
Address2: SUITE 300
City: COLUMBIA
State: SC
PostalCode: 292037607
CountryCode: US
TelephoneNumber: 8034341448
FaxNumber: 8034344331
Practice Location
Address1: 3010 FARROW RD
Address2: SUITE 300
City: COLUMBIA
State: SC
PostalCode: 292037607
CountryCode: US
TelephoneNumber: 8034341448
FaxNumber: 8034344331
Other Information
ProviderEnumerationDate: 03/18/2011
LastUpdateDate: 03/18/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225XR0403X  N Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility

No ID Information.


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