Individual
ANGELA MARIE JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 N TODD DR, SCOTTSBURG, IN 47170-7755
(812) 752-5663
Mailing address
7657 E TANK POND RD, NABB, IN 47147-7067
(181) 257-2303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002800A
IN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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