Individual
LATHEL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
214 E CURTIS ST, SIMPSONVILLE, SC 29681-2622
(864) 962-8570
Mailing address
117 KINGFISHER DR, SIMPSONVILLE, SC 29680-6395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3301
SC
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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