Individual
MRS. HEATHER SEAY ROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
304 JACOBS HWY, CLINTON, SC 29325-7279
(864) 833-2550
Mailing address
304 JACOBS HWY, CLINTON, SC 29325-7279
(864) 833-2550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2976
SC
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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