Individual
JULIE HOLCOMBE WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 MUSGROVE ST, CLINTON, SC 29325-1752
(864) 939-0936
Mailing address
6 ROUNDLEAF CT, SIMPSONVILLE, SC 29680-6354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4820
SC
224Z00000X
Occupational Therapy Assistant
4820
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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