Candice Rose Bagwell, COTA/L

NPI #1699035642 in Pendleton, South Carolina

Provider Information

NPI Number: 1699035642
Entity Type: Individual
Name: Candice Rose Bagwell, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: May 24, 2012
Last Updated: Sep 23, 2013

Practice Location

Address: 315 E QUEEN ST
City: Pendleton
State: South Carolina
ZIP Code: 29670-1721
Phone: (864) 403-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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