Angela Boyd

Organization Active NPI Occupational Therapist · Laurens, SC

NPI 1487735700 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1487735700
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
License
2578 (SC)
Legal business name
ANGELA BOYD
Practice address
379 Pinehaven Street Extension
Laurens, SC 29360-2672
Phone
(864) 984-6584
NPI assigned
Oct 17, 2006
Organization subpart
No

Authorized official

Name
Ms. Angela Nicole Boyd, MSR, OTR/L
Title
Occupational Therapist
Phone
(954) 663-5507

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X 2578 SC Yes

Addresses

Primary practice location

379 Pinehaven Street Extension
Laurens, SC 29360-2672

Mailing address

11 Martele CT
Simpsonville, SC 29680-7615
Phone (954) 663-5507

Other identifiers

IdentifierTypeStateIssuer
TH1231MedicaidSC

Other providers in Laurens, SC

All providers in Laurens, SC · Occupational Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.