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Individual

KIM OANH DWORZANOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
830 LAURENS ST, AIKEN, SC 29801-3416
(803) 649-6264
Mailing address
3114 CHELSEA DR, AUGUSTA, GA 30909-3314
(706) 736-0901

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2629
SC

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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