Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Ericson Waller, OT

Individual provider Occupational Therapist · NPI 1649523457

Mrs. Mary Ericson Waller, OT is an Occupational Therapist in West Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone: (803) 791-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 640 (SC)

Record details

NPI number1649523457
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESOctober 17, 2012

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