Clinton Charles Wilson in Aiken - Occupational Therapy Assistant

Clinton Charles Wilson - NPI 1164540563

Clinton Charles Wilson is a Occupational Therapy Assistant in Aiken, South Carolina. Clinton Charles Wilson practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Clinton Charles Wilson is 1164540563. The last update date is 2007-07-08.

Clinton Charles Wilson's current location address is 3420 Kings Sport Way Nw, Aiken, South Carolina. You can contact this provider via phone number 8032958210. The mailing address for Clinton Charles Wilson is 3420 Kings Sport Way Nw, Aiken, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Clinton Charles Wilson
Address 3420 Kings Sport Way Nw, Aiken, South Carolina
Phone Number 8032958210
Fax Number
Sole Proprietor N
Credentials C.O.T.A.

NPI Number Detail

NPI Number 1164540563
Provider Enumeration Date 2007-03-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3420 Kings Sport Way Nw
City Aiken
State South Carolina (SC)
Post Code 298016814
Phone Number 8032958210
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No 2575
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

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FAQs about Clinton Charles Wilson

What is the unique provider identifier assigned to Clinton Charles Wilson?

The Clinton Charles Wilson has been issued the NPI (National Provider Identifier) 1164540563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Clinton Charles Wilson's physical address?

The Clinton Charles Wilson is physically located at 3420 Kings Sport Way Nw, in the city of Aiken, SC, with the postal code 298016814.

What is Clinton Charles Wilson's area of expertise and its corresponding taxonomy classification?

The Clinton Charles Wilson's field of specialization is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164540563 to Clinton Charles Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1164540563 to Clinton Charles Wilson on 2007-03-26.

As of what date were the Clinton Charles Wilson's details last updated?

The information pertaining to the Clinton Charles Wilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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