NPI 1013531912
Jacquelyn M Knox, COTA
Practice location
- Address
- 204 Shady Pines CT, Fountain Inn, SC 29644-9785
- Phone
- (864) 408-9509
- Mailing address
- 650 Enterprise Blvd APT 5203, Charleston, SC 29492-8548
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1013531912
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jun 2020
- Record last updated
- 5 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.