Individual
KATHLEEN WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COT/A
Contact information
Practice address
1051 JOHNNIE DODDS BLVD STE G, MT PLEASANT, SC 29464-3100
(615) 491-1548
Mailing address
1051 JOHNNIE DODDS BLVD STE G, MT PLEASANT, SC 29464-3100
(615) 491-1548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3627
SC
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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