Individual
MEGAN NOVIA WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 HORSEPEN WAY, SIMPSONVILLE, SC 29681-4298
(864) 616-7060
Mailing address
100 HORSEPEN WAY, SIMPSONVILLE, SC 29681-4298
(864) 616-7060
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.4518.OT
SC
Other
Enumeration date
06/12/2015
Last updated
07/17/2023
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