Kimberly Logan Craig COTAL

NPI 1164642930 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1164642930
Gender Female
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3400 ANDERSON RD
STE C
GREENVILLE SC, 29611, US
Phone (864) 295-9890
Fax
Business Location
PO BOX 97
TRAVELERS REST SC, 29690-0097, US
Phone (864) 246-7396
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State South Carolina
License Number 2499
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According to our database, Mrs. Kimberly Logan Craig COTAL NPI is 1164642930, taxonomy code is 224Z00000X and license number is 2499, license state is located at South Carolina. Kimberly Logan Craig COTAL physically located at 3400 Anderson Rd, Greenville SC, 29611. NPI Number Kimberly Logan Craig COTAL has the Individual type.

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1164642930 NPI number is provided on an as is basis without warranty of any kind. 1164642930 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Logan Craig COTAL are for informational purposes only.