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Individual

VICTORIA JOLE'ANN CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, OTR/L, CHT

Contact information

Practice address
3016 LONGTOWN COMMONS DR STE 115, COLUMBIA, SC 29229-7849
(803) 314-0529
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8292
(423) 622-6249

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3259
SC
225X00000X
Occupational Therapist
OT3887
TN
225XP0200X
Pediatric Occupational Therapist
3259
SC

Other

Enumeration date
04/09/2007
Last updated
04/20/2021
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