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Individual

ANGELA MARIE BOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
(864) 260-5000
Mailing address
3504 HIGHWAY 153 # 334, GREENVILLE, SC 29611-7553
(662) 816-9817

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4150
AZ
225X00000X
Occupational Therapist
5525
SC
225XP0200X
Pediatric Occupational Therapist
056008219
IL
225XP0200X
Pediatric Occupational Therapist
2005028244
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355290
AZ
05
477584809
MO
Enumeration date
02/20/2007
Last updated
03/03/2020
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