Individual
CHI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
30 SHOCKLEY ST, TAYLORS, SC 29687-2527
(864) 905-3660
Mailing address
30 SHOCKLEY ST, TAYLORS, SC 29687-2527
(864) 905-3660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17761
NC
224Z00000X
Occupational Therapy Assistant
Primary
3647
SC
Other
Enumeration date
11/22/2023
Last updated
05/29/2026
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