Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angel S Gibson, COTA/L

Individual provider Occupational Therapist · NPI 1093409674

Angel S Gibson, COTA/L is an Occupational Therapist in Charleston, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2023
Specialties on file
3
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1925 Essex Farms Dr
Charleston, SC 29414-6696
Phone: (843) 779-1685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5174 (SC)
Occupational Therapist Taxonomy 225X00000X · Licence 5174 (SC)
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1093409674
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJune 6, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

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