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1447908660
SCOTT WAGGONER
GREENVILLE, SC
NPI
1447908660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4842)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
SCOTT WAGGONER PTA
1500 TRAILHEAD CT
GREENVILLE, SC 29617-6226
Phone number: 864-371-3100
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Mailing Address
SCOTT WAGGONER PTA
204 VIEW FOREST CT
GREER, SC 29651-5384
Phone number: 860-550-5872
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