Individual
TONYA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1724 OGDEN RD, ROCK HILL, SC 29730-9220
(803) 324-2481
Mailing address
1724 OGDEN RD, ROCK HILL, SC 29730-9220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005864
VA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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