Individual
MS. ANGELA CECILE COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1521 S HIGHVIEW AVE, JOPLIN, MO 64804-1242
(417) 540-2756
(877) 423-3650
Mailing address
1521 S HIGHVIEW AVE, JOPLIN, MO 64804-1242
(417) 540-2756
(877) 423-3650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002005
MO
225X00000X
Occupational Therapist
17-02499
KS
225X00000X
Occupational Therapist
OT 260
OK
Other
Enumeration date
09/27/2005
Last updated
01/13/2020
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