Individual
ANGELA WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7371 LAWRENCE 1232, ASH GROVE, MO 65604-7187
(417) 942-8212
Mailing address
7371 LAWRENCE 1232, ASH GROVE, MO 65604-7187
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012018184
MO
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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