Search › South Carolina › 224Z00000X
Demetria Wilson, COTA/L
NPI 1053065862 · on the registry since 2022
Practice
- Address
- 204 Shady Pines Ct
Fountain Inn, SC 29644 - Phone
- (864) 399-2674
- Fax
- (864) 335-9036
- Organisation at this address
- Heaton Pediatric Therapy Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina