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Organization
JUST FOR KIDS
Active
Organization
JUST FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA NICOLE BOYD MSR, OTR/L (OWNER)
(864) 962-6832
Entity
Organization
Contact information
Practice address
11 MARTELE CT, SIMPSONVILLE, SC 29680-7615
(864) 962-6832
Mailing address
11 MARTELE CT, SIMPSONVILLE, SC 29680-7615
(864) 962-6832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2578
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053578724
NPI
SC
01
—
1487735700
NPI
SC
05
—
889545700
—
FL
05
—
TH1231
—
SC
Enumeration date
09/26/2008
Last updated
07/09/2009
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