KAILEY GRACE CLEGG

GREENWOOD, SC
NPI1720734627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  5378)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
KAILEY GRACE CLEGG COTA
104 MAXWELL AVE
GREENWOOD, SC 29646-2641
Phone number: 864-229-7529
Mailing Address
KAILEY GRACE CLEGG COTA
PO BOX 3023
GREENWOOD, SC 29648-3023
Phone number: 864-229-7529