Individual
SYLVIA RENEE LATIMORE
Active
Sole proprietor
Yes
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
111 MEADOWOOD DR, MAULDIN, SC 29662-2611
(864) 363-2336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
945
SC
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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