Individual
DEBRA DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 963-3592
Mailing address
107 MONTCLAIR RD, MAULDIN, SC 29662-1829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2345
SC
Other
Enumeration date
05/18/2011
Last updated
05/02/2013
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