Individual
KATHY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
120 DUGAN RD, EASLEY, SC 29642-8120
(864) 306-9803
Mailing address
120 DUGAN RD, EASLEY, SC 29642-8120
(864) 306-9803
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2674
SC
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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