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Individual

AGHTAN JEFFCOAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2203 MARCHBANKS AVE, ANDERSON, SC 29621-2247
(864) 231-7786
Mailing address
117 MISTY FOREST WAY, PIEDMONT, SC 29673
(803) 767-7204

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5387
SC

Other

Enumeration date
04/29/2022
Last updated
04/29/2022
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