Individual
MS. DEWILDA MAY SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1015 N TEXAS BLVD, STE 20B #288, WESLACO, TX 78596-4529
(843) 907-3380
Mailing address
2455 SALT MEADOW LN, MYRTLE BEACH, SC 29577-6623
(843) 907-3380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2359
SC
Other
Enumeration date
09/20/2007
Last updated
08/23/2010
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