Individual
MS. ANGELA NICOLE MARZOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5721 SPRINGFIELD RD, WILLISTON, SC 29853
(803) 266-3229
Mailing address
419 BLUE RIDGE DR, MARTINEZ, GA 30907-2765
(706) 664-8294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2925
SC
Other
Enumeration date
11/15/2012
Last updated
11/16/2012
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