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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN DEWAINE WAGNER, OT

Active

JONATHAN DEWAINE WAGNER, OT is a Occupational Therapist healthcare provider located in GREENVILLE, South Carolina. NPI 1962926592 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GREENVILLE, SC

Registration Details

NPI Number
1962926592
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2017 (9.033380668377 yrs)
Last Updated
Jul 26, 2017
License
4630 (SC)

Practice Information

Address
661 RUTHERFORD RD
GREENVILLE, SC, 296094640
Browse SC providers · Browse ZIP 29609
Phone
8642322442
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in GREENVILLE, SC

Name Credential NPI
COURTNEY GNAU GARBADE OT 1609850460
COLLEEN RENEE MICHAEL OT 1326015694
MRS. DEBORAH MCNALLY O.T. 1043288905
DEBORAH SMITH OT 1962450502
MRS. JULIE ANNETTE VIANDS O.T.R. 1700820164
TAMMY A CALDER OTR L 1831128818
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.