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

KAILEY GRACE CLEGG, COTA

Active Sole Proprietor

KAILEY GRACE CLEGG, COTA is a Occupational Therapy Assistant healthcare provider located in GREENWOOD, South Carolina. NPI 1720734627 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GREENWOOD, SC

Registration Details

NPI Number
1720734627
Provider Type
Individual
Gender
Female
NPI Issued
Mar 1, 2022 (4.4166944568131 yrs)
Last Updated
Mar 1, 2022
License
5378 (SC)
Sole Proprietor
Yes

Practice Information

Address
104 MAXWELL AVE
GREENWOOD, SC, 296462641
Browse SC providers · Browse ZIP 29646
Phone
8642297529
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in GREENWOOD, SC

Name Credential NPI
DONNA SMITH WALDROP COTA L 1639277171
CONNIE ELAINE BURKHALTER COTA 1427267970
MRS. TARA ANN SIMMONS COTA/L 1487939112
KIMBERLY ETHEREDGE COTA/L 1528310380
MARIA LORENA WILSON COTA 1043657000
MAKEIA BRENEE BECK COTA 1134524945
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.