Individual
MRS. CASEY WOOTEN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
650 EAST BUTLER RD, MAULDIN, SC 29662
(864) 675-6421
Mailing address
34 RIDGESTONE CIR, MAULDIN, SC 29662-2423
(864) 630-2728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2473
SC
Other
Enumeration date
10/05/2006
Last updated
02/20/2008
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