Katie Pruiksma, COTA/L
NPI #1619420114 in Moore, South Carolina
Provider Information
- NPI Number
- 1619420114
- Entity Type
- Individual
- Name
- Katie Pruiksma, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 1, 2016
- Last Updated
- Aug 1, 2016
Practice Location
- Address
- 511 SIERRA RIDGE CT
- City
- Moore
- State
- South Carolina
- ZIP Code
- 29369-9383
- Phone
- (864) 561-1002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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