Individual
ANGELICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
437 CAMBRIDGE AVE E, GREENWOOD, SC 29646-2244
(864) 337-1739
Mailing address
10 1ST ST, GREENWOOD, SC 29646-4530
(864) 337-1739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4927
SC
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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