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General NPI Number Information
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NPI Number | 1851672547
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Entity Type | Individual
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Provider Name | REGAN ROOT HAND OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 48 BROOKFIELD OAKS DR STE A&B
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City | GREENVILLE
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State | SC
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Zip | 29607-6555
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Country | US
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Telephone | 864-520-8910
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Fax | 864-520-8912
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Provider Business Mailing Address
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Address Line | 2400 WINCHESTER PL STE 102B
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City | SPARTANBURG
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State | SC
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Zip | 29301-1518
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Country | US
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Telephone | 864-574-7188
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Fax | 864-576-8909
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 3862
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License Number State | SC
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