| Lindsey Wagner, | |
|
10879 Clemson Blvd, Seneca, SC 29678-1303 | |
| (864) 482-0085 | |
| (864) 482-0072 |
| Full Name | Lindsey Wagner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 10879 Clemson Blvd, Seneca, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437997087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTP-OT-LIC-10601 (Montana) | Secondary |
| 225X00000X | Occupational Therapist | (South Carolina) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Wagner, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Lindsey Wagner, 10879 Clemson Blvd, Seneca, SC 29678-1303 Ph: (864) 482-0085 |
Christina L Davis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Gillespie Rd, Seneca, SC 29678 Phone: 864-882-0783 | |
Mrs. Darlene Marie Mcnulty, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 Bypass 123, Seneca, SC 29678 Phone: 864-888-4466 | |
Upstate Pediatric Therapy Co Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Coneross Point Dr, Seneca, SC 29678 Phone: 208-989-9487 | |
Rosalito Gutierrez Beltran, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 140 Tokeena Rd, Seneca, SC 29678 Phone: 864-882-1642 Fax: 864-888-1411 | |
Barry Clay Poole, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Winding Oaks Dr, Seneca, SC 29672 Phone: 864-985-8180 | |
Hannah Genevieve Carvel, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11091 N Radio Station Rd, Seneca, SC 29678 Phone: 864-654-2001 | |
Heather Findley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Benton St, Seneca, SC 29672 Phone: 864-567-9266 |