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Individual

MS. ANGELA NICOLE BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSR, OTR/L

Contact information

Practice address
11 MARTELE CT, SIMPSONVILLE, SC 29680-7615
(864) 962-6832
(864) 963-2583
Mailing address
11 MARTELE CT, SIMPSONVILLE, SC 29680-7615
(864) 962-6832
(864) 963-2583

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2578
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487735700
ORGANIZATIONAL NPI
05
889545700
FL
05
TH1231
SC
Enumeration date
05/20/2008
Last updated
05/20/2008
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