Individual
MRS. GAYLE H. HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 E AUGUSTA PL APT 201, GREENVILLE, SC 29605-1760
(864) 991-8378
(864) 991-8379
Mailing address
119 PINEWOOD DR, GREER, SC 29651-1441
(864) 430-8115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3406
SC
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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