Provider Demographics
NPI:1467772632
Name:REMICK, LINDA HARNICK (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:HARNICK
Last Name:REMICK
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CLAYMORE CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-2835
Mailing Address - Country:US
Mailing Address - Phone:864-244-5177
Mailing Address - Fax:
Practice Address - Street 1:355 BERKMANS LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5606
Practice Address - Country:US
Practice Address - Phone:864-467-0031
Practice Address - Fax:864-235-9021
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2296224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant