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Individual

TAWNIA LEE PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
110 SUMMIT KNOLL DRIVE, SPARTANBURG, SC 29307
(864) 591-2222
(864) 541-0069
Mailing address
1463 CAROLINA DR, TRYON, NC 28782-3510
(828) 817-4245

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0000910
CO
224Z00000X
Occupational Therapy Assistant
10946
NC
224Z00000X
Occupational Therapy Assistant
Primary
3705
SC

Other

Enumeration date
07/07/2017
Last updated
07/07/2017
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