Individual
ANGELA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5830
(843) 817-0405
Mailing address
104 LONG BAY CT, GOOSE CREEK, SC 29445-7224
(843) 817-0405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3320
SC
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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