Individual
CHRISTA GRADDY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
104 MAXWELL AVE, GREENWOOD, SC 29646-2641
(864) 229-7529
Mailing address
246 FREE BRIDGE RD, WARE SHOALS, SC 29692-3807
(864) 360-8688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5008
SC
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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