Individual
ANGELA L SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2230 ASHLEY CROSSING DR, CHARLESTON, SC 29414-5700
(843) 766-5228
Mailing address
8532 LAKE MARION DR, N CHARLESTON, SC 29406-9540
(843) 476-7180
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2599
SC
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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