Individual
MRS. SUZANNE NUCKOLLS CRITTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Mailing address
135 HERITAGE LN, EASLEY, SC 29642-8244
(864) 295-1234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2295
SC
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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