Individual
ANSLEY LYNN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
330 HIGHWAY 101, LANDRUM, SC 29356-9216
(864) 457-6655
Mailing address
330 HIGHWAY 101, LANDRUM, SC 29356-9216
(864) 457-6655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
10552
NC
224Z00000X
Occupational Therapy Assistant
Primary
3628
SC
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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