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Individual

MRS. DAWN WRIGHT ELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
(864) 675-9122
Mailing address
14 W MONTCLAIR AVE, GREENVILLE, SC 29609-4659
(864) 958-2096

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1599
SC

Other

Enumeration date
07/29/2012
Last updated
07/29/2012
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