Kaitlin Dickson, COTA/L

NPI #1497178180 in Greenville, South Carolina

Provider Information

NPI Number: 1497178180
Entity Type: Individual
Name: Kaitlin Dickson, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: COTA/L
Enumeration Date: Jan 30, 2014
Last Updated: Jan 30, 2014

Practice Location

Address: 10 FOUNTAINVIEW TER
City: Greenville
State: South Carolina
ZIP Code: 29607-4060
Phone: (864) 528-5507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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