CANDICE ROSE BAGWELL

PENDLETON, SC
NPI1699035642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  3007)
Enumeration Date2012-05-24
Last Update Date2013-09-23
Business Address
-- CANDICE ROSE BAGWELL COTA/L
315 E QUEEN ST
PENDLETON, SC 29670-1721
Phone number: 864-403-2000
Mailing Address
-- CANDICE ROSE BAGWELL COTA/L
315 E QUEEN ST
PENDLETON, SC 29670-1721
Phone number: 864-403-2000