Individual
ROBERTA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4438 PAMPLICO HWY, FLORENCE, SC 29505-8502
(843) 669-3502
Mailing address
1473 MCADAMS CT, MOUNT PLEASANT, SC 29466-6503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3607
SC
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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