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1073356861
KATIE LYNN EVITTS DAVIS
CHARLESTON, SC
NPI
1073356861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC OTA.5677)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
KATIE LYNN EVITTS DAVIS COTA/L
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407-4248
Phone number: 843-277-2411
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Mailing Address
KATIE LYNN EVITTS DAVIS COTA/L
1563 SAM RITTENBERG BLVD
CHARLESTON, SC 29407-4248
Phone number: 843-277-2411
Copy
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