Individual
CHI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
474 HIGHWAY 282, CLANCY, MT 59634-9519
(406) 933-8311
Mailing address
30 SHOCKLEY ST, TAYLORS, SC 29687-2527
(864) 905-3660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3647
SC
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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