Individual
MALINA KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
707 STANTON DR, NORTH AUGUSTA, SC 29841-3264
(706) 589-3773
(803) 202-0334
Mailing address
PO BOX 12094, AUGUSTA, GA 30914-2094
(706) 589-3773
(803) 202-0334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
GA001324
GA
224Z00000X
Occupational Therapy Assistant
Primary
SC3132
SC
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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