NPI 1073614061
Bonnie Diane Maybin, COTAL
Practice location
- Address
- 1501 E Greenville St, Anderson, SC 29621-2004
- Phone
- (864) 226-8356
- Fax
- (864) 261-6480
- Mailing address
- 3792 Highway 29 S, Anderson, SC 29626-6719
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1073614061
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Sep 2006
- Record last updated
- 8 Jul 2007
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.