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Individual

MS. ANGELA MARIE KOCHOBAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5705 CARTER WOODS CT, WAXHAW, NC 28173-6974
(267) 730-9411
(803) 728-3291
Mailing address
5705 CARTER WOODS CT, WAXHAW, NC 28173-6974
(267) 730-9411
(803) 728-3291

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11444
NC
225XP0200X
Pediatric Occupational Therapist
5283
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14171387
NC
05
GP8975
SC
Enumeration date
02/07/2017
Last updated
11/13/2025
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