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NPI Code Detail

MEDICARE: MRS. RHONDA LYNN PUTNAM COTA/L

MEDICARE:  MRS. RHONDA LYNN PUTNAM  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant2963SC

General Provider Information

NPI Number : 1972886919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RHONDA LYNN PUTNAM COTA/L
Provider Business Mailing Address
First Line : 706 PATRIOT LN
Second Line :
City : GREER
State : SC
Zip : 29651-5282
Country : US
Telephone Number : 570-250-0463
Fax Number :
Provider Business Practice Location Address
First Line : 601 SULPHUR SPRINGS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29617-1621
Country : US
Telephone Number : 864-246-2721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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Directions to “ MRS. RHONDA LYNN PUTNAM COTA/L” Practice Location

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