Individual provider · Type 1 NPI

Jonathan Dewaine Wagner, OT

Occupational Therapist · Greenville, SC

NPI number 1962926592 Active

Practice location

661 Rutherford Rd
Greenville, SC 29609-4640

Call (864) 232-2442 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4630 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1962926592

Jonathan Dewaine Wagner, OT's National Provider Identifier is 1962926592, issued on Jul 26, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Greenville, SC. The record was last updated on Jul 26, 2017.