Organization
ANGEL'S PLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA LYNN HUTTO (OTR/L)
(803) 507-0354
Entity
Organization
Contact information
Practice address
1506 WHISKEY RD, AIKEN, SC 29803-5312
(803) 507-0354
(803) 649-2054
Mailing address
PO BOX 5051, AIKEN, SC 29804-5051
(803) 507-0354
(803) 649-2054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
701
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1025
—
SC
Enumeration date
09/05/2012
Last updated
09/05/2012
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