IndividualActive
Kaitlin Dickson, COTA/L
NPI 1497178180 · Contractor · Greenville, SC
Provider details
- NPI number
- 1497178180
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 3279 (SC)
Specialties & taxonomies
Other Service Providers
Practice location
10 Fountainview Ter
Greenville, SC 29607-4060
Phone: (864) 528-5507
Approximate (ZIP-level) locationGet directions
Mailing address
10 Fountainview Ter
Greenville, SC 29607-4060
Registry dates
- Enumerated
- 2014-01-30
- Last updated
- 2014-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.