Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY SHANE ZACCAGNINI, PTA
Active Sole ProprietorMR. GARY SHANE ZACCAGNINI, PTA is a Occupational Therapist healthcare provider located in SAINT GEORGE, South Carolina. NPI 1427793165 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SAINT GEORGE, SC
Registration Details
- NPI Number
- 1427793165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2022 (4.117112238042 yrs)
- Last Updated
- Apr 27, 2022
- License
-
2139 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5502 MEMORIAL BLVD UNIT 2SAINT GEORGE, SC, 294772286Browse SC providers · Browse ZIP 29477
- Phone
- 8436385122
- Fax
- 8436385126
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SAINT GEORGE, SC
| Name | Credential | NPI |
|---|---|---|
| KELSEY SANDERS | PTA | 1346917077 |
| ROXANNE ROBES | PTA | 1073235032 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.