NPI 1053065862

Demetria Sharpe Wilson, COTAL

Practitioner Occupational Therapy Assistant Fountain Inn, SC

Practice location

Address: 204 Shady Pines CT, Fountain Inn, SC 29644-9785
Phone: (864) 399-2674
Fax: (864) 335-9036
Mailing address: PO Box 1312, Fountain Inn, SC 29644-1054

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4907 (SC)

Other Occupational Therapy Assistant providers in South Carolina →

Registry record

NPI: 1053065862
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2022
Record last updated: 10 Feb 2022

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.