Individual
CHRISTINA DENISE JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11 E AUGUSTA PL, GREENVILLE, SC 29605-1755
(864) 214-3494
Mailing address
454 E MOUNTAIN CREEK RD, TAYLORS, SC 29687-6416
(864) 608-6624
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.3281
SC
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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