ANGEL S GIBSON

CHARLESTON, SC
NPI1093409674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  5174)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: SC  5174)
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date2023-06-06
Last Update Date2023-10-19
Business Address
ANGEL S GIBSON COTA/L
1925 ESSEX FARMS DR
CHARLESTON, SC 29414-6696
Phone number: 843-779-1685
Mailing Address
ANGEL S GIBSON COTA/L
1114 FLYWAY RD
SUMMERVILLE, SC 29483-8021
Phone number: 803-316-1227