NPI 1184221947

Austin Waldrop, COTAL

Practitioner Occupational Therapy Assistant Fountain Inn, SC

Practice location

Address: 204 Shady Pines CT, Fountain Inn, SC 29644-9785
Phone: (864) 399-2674
Mailing address: PO Box 1312, Fountain Inn, SC 29644-1054

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5086 (SC)

Other Occupational Therapy Assistant providers in South Carolina →

Registry record

NPI: 1184221947
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2020
Record last updated: 5 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.