Individual
VICTORIA MARIE HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1180 HAYWOOD RD, GREENVILLE, SC 29615-2286
(864) 414-2868
Mailing address
105 WILD HORSE CREEK DR, SIMPSONVILLE, SC 29680-6511
(864) 414-2868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.3276 OTA
SC
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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