Individual
MRS. TRACIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
850 EAST BUTLER RD, GREENVILLE, SC 29607
(864) 316-9365
(864) 316-9365
Mailing address
850 EAST BUTLER RD, GREENVILLE, SC 29607
(864) 316-9365
(864) 316-9365
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3436
SC
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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