Individual
MS. ARIEL NICHOLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 WOODHAVEN DR, HILTON HEAD, SC 29928-7511
(843) 842-3747
Mailing address
18 COMMUNITY CENTER RD, SEABROOK, SC 29940-3200
(843) 476-5697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2647
SC
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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