# ANGELA R SHEHORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932289709
- **Gender:** F
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31003006A | IN | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 10/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000961346 | ANTHEM PROVIDER NUMBER | IN |
| 05 | — | 200935630 | — | IN |