Wilson, Clinton Charles

Wilson, Clinton Charles is an individual health care provider with primary practice located at 3420 Kings Sport Way Nw , Aiken SC 29801-6814. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Wilson, Clinton Charles can be contacted via phone (803) 295-8210.

Contact Information

Primary practice address
3420 Kings Sport Way Nw Aiken SC 29801-6814
Phone: (803) 295-8210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2575 South Carolina

Profile Details

NPI number 1164540563
LBN Legal business name Wilson, Clinton Charles
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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