Individual
MS. AMY ELIZABETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
157 HOME AVE, DARLINGTON, SC 29532-7625
(843) 393-2867
Mailing address
1049 HUNTINGTON DR, HARTSVILLE, SC 29550-7960
(843) 861-5068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5260
SC
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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