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Individual

KRISTINA VINING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
214 E CURTIS ST, SIMPSONVILLE, SC 29681-2622
(864) 962-8570
Mailing address
4 NELAND CT, SIMPSONVILLE, SC 29681-6556
(864) 940-0585

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3646
SC

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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