Individual
ANGELA BANDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
989 RIBAUT RD, SUITE 330, BEAUFORT, SC 29902-5472
(843) 522-5593
Mailing address
PO BOX 1212, BEAUFORT, SC 29901-1212
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2889
SC
Other
Enumeration date
02/12/2013
Last updated
04/29/2013
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