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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLINTON CHARLES WILSON, C.O.T.A.

Active

MR. CLINTON CHARLES WILSON, C.O.T.A. is a Occupational Therapy Assistant healthcare provider located in AIKEN, South Carolina. NPI 1164540563 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · AIKEN, SC

Registration Details

NPI Number
1164540563
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2007 (19.358126427624 yrs)
Last Updated
Jul 8, 2007
License
2575 (SC)

Practice Information

Address
3420 KINGS SPORT WAY NW
AIKEN, SC, 298016814
Browse SC providers · Browse ZIP 29801
Phone
8032958210
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in AIKEN, SC

Name Credential NPI
JENNIFER D GRUSHINSKI COTA/L 1831123736
KIM OANH DWORZANOWSKI COTA 1770684763
CHARI R. FRALIX COTA./L 1578741583
MRS. MELISSA MIANO ROBINSON COTA/L 1003082033
CASSIE MATTOX 1811128804
MICHELLE HERNANDEZ COTA 1821366196
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.