Organization
ANGELA BOYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA NICOLE BOYD MSR, OTR/L (OCCUPATIONAL THERAPIST)
(954) 663-5507
Entity
Organization
Contact information
Practice address
379 PINEHAVEN STREET EXTENSION, LAURENS, SC 29360-2672
(864) 984-6584
Mailing address
11 MARTELE CT, SIMPSONVILLE, SC 29680-7615
(954) 663-5507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2578
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1231
—
SC
Enumeration date
10/17/2006
Last updated
08/22/2020
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