Individual
MRS. LINDA MANOUS PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
140 TOKEENA RD, SENECA HEALTH AND REHAB CENTER, SENECA, SC 29678
(864) 882-1642
Mailing address
3 MARLOW LN, TAYLORS, SC 29687-3987
(864) 991-8566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3009
SC
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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