Individual
ANGELICA AKIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COPELAND MOODY RD, LATTA, SC 29565-5265
(843) 992-2009
Mailing address
400 COPELAND MOODY RD, LATTA, SC 29565-5265
(843) 992-2009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4850
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
12/30/2020
Last updated
12/30/2020
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