Provider Demographics
NPI:1487978375
Name:BEHR, WENDY ANN (COTA/L)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:ANN
Last Name:BEHR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 OLD CARRIAGE RD
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-9374
Mailing Address - Country:US
Mailing Address - Phone:803-222-5462
Mailing Address - Fax:
Practice Address - Street 1:138 OLD CARRIAGE RD
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-9374
Practice Address - Country:US
Practice Address - Phone:803-222-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-21
Last Update Date:2010-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2285224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant