Individual
AUSTIN WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
204 SHADY PINES CT, FOUNTAIN INN, SC 29644-9785
(864) 399-2674
Mailing address
PO BOX 1312, FOUNTAIN INN, SC 29644-1054
(864) 399-2674
(864) 335-9036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5086
SC
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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