Individual
JODI L HERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(864) 384-9545
Mailing address
225 GARFIELD LN, SIMPSONVILLE, SC 29681-3869
(864) 384-9545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
10/29/2009
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