Individual
MR. JASON WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2715 S ISLAND RD, GEORGETOWN, SC 29440-4415
(843) 546-4123
Mailing address
221 BONNOITT ST, APARTMENT 7B, MONCKS CORNER, SC 29461-2684
(843) 830-9619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3220
SC
Other
Enumeration date
08/16/2008
Last updated
02/01/2021
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