NPI 1104450964

Gretchen Wirick, COTAL

Practitioner Occupational Therapy Assistant Fountain Inn, SC

Practice location

Address: 204 Shady Pines CT, Fountain Inn, SC 29644-9785
Phone: (864) 408-9509
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 5095 (SC)

Other Occupational Therapy Assistant providers in South Carolina →

Registry record

NPI: 1104450964
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2020
Record last updated: 2 Mar 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.