Individual
DONNA SMITH WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
437 E CAMBRIDGE AVE, GREENWOOD, SC 29646-2244
(864) 223-1950
Mailing address
222 NATION RD, HODGES, SC 29653-9387
(864) 374-3956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2391
SC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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