CLINTON CHARLES WILSON

AIKEN, SC
NPI1164540563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  2575)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Mr. CLINTON CHARLES WILSON C.O.T.A.
3420 KINGS SPORT WAY NW
AIKEN, SC 29801-6814
Phone number: 803-295-8210
Mailing Address
Mr. CLINTON CHARLES WILSON C.O.T.A.
3420 KINGS SPORT WAY NW
AIKEN, SC 29801-6814
Phone number: 803-295-8210
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