Individual
MRS. TINA L CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
619 LAUREL LAKE DR, COLUMBUS, NC 28722-7451
(828) 894-3895
Mailing address
430 WOODLAND AVE, INMAN, SC 29349-8605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6368
NC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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