Individual
MRS. KIMBERLY LOGAN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3400 ANDERSON RD, STE C, GREENVILLE, SC 29611
(864) 295-9890
Mailing address
PO BOX 97, TRAVELERS REST, SC 29690-0097
(864) 246-7396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2499
SC
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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