Individual
KIERA SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
3500 PELHAM RD APT 108, GREENVILLE, SC 29615-4120
(803) 609-1193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4812
SC
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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