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Individual

ZADA K WOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
602 E MAIN ST STE C4, LEXINGTON, SC 29072-3729
(803) 881-4787
(803) 369-8739
Mailing address
128 HUXLEY CT, LEXINGTON, SC 29072-8263

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5363
SC
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
01/27/2021
Last updated
04/30/2025
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