NPI 1164540563

Clinton Charles Wilson, COTA

Practitioner Occupational Therapy Assistant Aiken, SC

Practice location

Address: 3420 Kings Sport Way NW, Aiken, SC 29801-6814
Phone: (803) 295-8210

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2575 (SC)

Other Occupational Therapy Assistant providers in South Carolina →

Registry record

NPI: 1164540563
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2007
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.