Angel S Gibson, COTA/L in Charleston, SC - Occupational Therapy Assistant

Angel S Gibson, COTA/L is a Occupational Therapy Assistant based in Charleston, South Carolina. Angel S Gibson is licensed to practice in South Carolina (license number 5174) and her current practice location is 1925 Essex Farms Dr, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 779-1685.

NPI number for Angel S Gibson is 1093409674 and her current mailing address is 1114 Flyway Rd, Summerville, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093409674.

Contact Information

	Angel S Gibson, COTA/L
	1925 Essex Farms Dr, Charleston, SC 29414-6696
	(843) 779-1685
	Not Available

Healthcare Provider's Profile

Full Name	Angel S Gibson
Gender	Female
Speciality	Occupational Therapy Assistant
Location	1925 Essex Farms Dr, Charleston, South Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1093409674
Provider Enumeration Date: 06/06/2023
Last Update Date: 10/19/2023

Medical Identifiers

Medical identifiers for Angel S Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093409674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5174 (South Carolina)	Secondary
225XP0200X	Occupational Therapist - Pediatrics	(* (Not Available))	Secondary
224Z00000X	Occupational Therapy Assistant	5174 (South Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angel S Gibson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angel S Gibson, COTA/L 1114 Flyway Rd, Summerville, SC 29483-8021 Ph: (803) 316-1227	Angel S Gibson, COTA/L 1925 Essex Farms Dr, Charleston, SC 29414-6696 Ph: (843) 779-1685

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Angel S Gibson, COTA/L - in Charleston, SC