Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Clinton Charles Wilson, COTA

Individual provider Occupational Therapy Assistant · NPI 1164540563

Mr. Clinton Charles Wilson, COTA is an Occupational Therapy Assistant in Aiken, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3420 Kings Sport Way NW
Aiken, SC 29801-6814
Phone: (803) 295-8210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2575 (SC)

Record details

NPI number1164540563
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 8, 2007

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