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1962720052
SUSAN K WALL
GREENVILLE, SC
NPI
1962720052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2623)
Enumeration Date
2010-05-13
Last Update Date
2010-05-13
Business Address
-- SUSAN K WALL COTA
30 SPRINGCREST CT
GREENVILLE, SC 29607-4034
Phone number: 864-528-5547
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Mailing Address
-- SUSAN K WALL COTA
1214 SHADOW WAY
GREENVILLE, SC 29615-3843
Phone number: 864-297-8526
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