Individual
MR. JEREMY CRAIG DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1180 HAYWOOD RD, GREENVILLE, SC 29615-2286
(864) 288-8093
Mailing address
147 COLDSTREAM DR, SPARTANBURG, SC 29316-5101
(864) 590-5316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3196
SC
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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