Individual
MRS. CAROLE PATRICE HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
311 SIMPSON RD, ANDERSON, SC 29621-2157
(864) 231-7397
Mailing address
311 SIMPSON RD, ANDERSON, SC 29621-2157
(864) 231-7397
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1778
SC
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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