Individual
ANGELA LUCY ESTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6791
SC
Other
Enumeration date
06/21/2023
Last updated
08/17/2023
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