Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE ROSE BAGWELL, COTA/L
ActiveCANDICE ROSE BAGWELL, COTA/L is a Occupational Therapy Assistant healthcare provider located in PENDLETON, South Carolina. NPI 1699035642 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PENDLETON, SC
Registration Details
- NPI Number
- 1699035642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2012 (14.185832425913 yrs)
- Last Updated
- Sep 23, 2013
- License
-
3007 (SC)
Practice Information
- Address
-
315 E QUEEN STPENDLETON, SC, 296701721Browse SC providers · Browse ZIP 29670
- Phone
- 8644032000
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.