Whalio Doctors

NPI 1093409674

Angel S Gibson, COTAL

Practitioner Occupational Therapy Assistant Charleston, SC

Practice location

Address
1925 Essex Farms Dr, Charleston, SC 29414-6696
Phone
(843) 779-1685
Mailing address
1114 Flyway Rd, Summerville, SC 29483-8021

Registered specialties (3)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5174 (SC)
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 5174 (SC)
Pediatric Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X

Registry record

NPI
1093409674
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Jun 2023
Record last updated
19 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.