Individual provider · Type 1 NPI

Angel S. Gibson, COTA/L

Occupational Therapy Assistant · Charleston, SC

NPI number 1093409674 Active

Practice location

1925 Essex Farms Dr
Charleston, SC 29414-6696

Call (843) 779-1685 Map

Mailing address

1114 Flyway Rd
Summerville, SC 29483-8021

Other practice locations

  • 1114 Flyway Rd, Summerville, SC 29483-8021 · (803) 316-1227

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X5174 (SC)
Pediatric Occupational Therapist 225XP0200XNone listed
Occupational Therapy Assistant Primary 224Z00000X5174 (SC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1093409674

Angel S. Gibson, COTA/L's National Provider Identifier is 1093409674, issued on Jun 6, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Charleston, SC. The record was last updated on Oct 19, 2023.