Individual
CASSIDY LEE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
70 PARKWAY COMMONS WAY, GREER, SC 29650
(888) 510-6369
Mailing address
9565 HIGHWAY 78 STE 102, LADSON, SC 29456-4118
(888) 510-6369
(888) 510-9156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
08/27/2018
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