Wynn, Dokota Boston
Wynn, Dokota Boston is an sole proprietor health care provider with primary practice located at 720 Old Cherokee Rd , Lexington SC 29072-9406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wynn, Dokota Boston can be contacted via phone (336) 661-5169.Contact Information
Primary practice address
720 Old Cherokee Rd
Lexington SC 29072-9406
Phone: (336) 661-5169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4632 | South Carolina |
Profile Details
| NPI number | 1588037592 |
|---|---|
| LBN Legal business name | Wynn, Dokota Boston |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2015 |
| Last updated | Nov 12th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588037592 | NPPES |
| Other | 349975 | NCBOT |
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