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Individual

ANGELA EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6140 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 642-0700
(803) 642-0588
Mailing address
6140 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 642-0700
(803) 642-0588

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3526
SC

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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