DEMETRIA SHARPE WILSON

FOUNTAIN INN, SC
NPI1053065862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  4907)
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
DEMETRIA SHARPE WILSON COTA/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-399-2674
Mailing Address
DEMETRIA SHARPE WILSON COTA/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-408-9509