Individual
ROBIN HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7601 PARKLANE ROAD, COLUMBIA, SC 29223
(803) 741-9090
Mailing address
4601 CARTER HILL RD, COLUMBIA, SC 29206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3473
SC
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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