Individual
ANITA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 PATEWOOD DR STE 100, GREENVILLE, SC 29615-3588
(864) 522-6630
Mailing address
503 FAIRVIEW LAKE WAY, SIMPSONVILLE, SC 29680-7150
(412) 680-2109
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
95965
SC
246ZA2600X
Medical Art Specialist/Technologist
95965
SC
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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