Individual
MRS. ANGELA BEYLOTTE SMOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSR, OTR/L
Contact information
Practice address
1720 CARLISLE RD, CHARLESTON, SC 29412-3537
(843) 819-4987
Mailing address
1720 CARLISLE RD, CHARLESTON, SC 29412-3537
(843) 819-4987
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2788
SC
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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