Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Rose Bagwell, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1699035642

Candice Rose Bagwell, COTA/L is an Occupational Therapy Assistant in Pendleton, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

315 E Queen St
Pendleton, SC 29670-1721
Phone: (864) 403-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3007 (SC)

Record details

NPI number1699035642
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 24, 2012
Last updated in NPPESSeptember 23, 2013