Individual
MRS. IVY CECILIA BISHOP- ST. ANGE
Active
Individual
MRS. IVY CECILIA BISHOP- ST. ANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119002858
VA
225XN1300X
Neurorehabilitation Occupational Therapist
0119002858
VA
225XP0200X
Pediatric Occupational Therapist
Primary
0119002858
VA
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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