Healthcare Provider Details

I. General information

NPI: 1831572601
Provider Name (Legal Business Name): WENDY BEGLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 FALLS RD
ROCK HILL SC
29730-7531
US

IV. Provider business mailing address

1358 PLANTATION HILLS DR
ROCK HILL SC
29732-7802
US

V. Phone/Fax

Practice location:
  • Phone: 803-320-3685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224ZE0001X
TaxonomyEnvironmental Modification Occupational Therapy Assistant
License Number4426
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4426
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: