Individual
MRS. ANGIE KAY HUECHTKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1317 EBENEZER RD, ROCK HILL, SC 29732-2336
(803) 207-8177
Mailing address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2117
SC
Other
Enumeration date
06/23/2016
Last updated
07/13/2016
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