Individual
ANGELA COMIANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 RIDGEWOOD DR, NORTH MYRTLE BEACH, SC 29582-3618
(740) 360-3597
Mailing address
1000 RIDGEWOOD DR, NORTH MYRTLE BEACH, SC 29582-3618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4910
SC
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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