Individual
MRS. ANGELA M FENLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, ATRIC, CMS
Contact information
Practice address
10593 NORTHFIELD DR, ZEELAND, MI 49464-6847
(616) 510-1128
(855) 207-3270
Mailing address
10593 NORTHFIELD DR, ZEELAND, MI 49464-6847
(616) 510-1128
(855) 207-3270
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
01/20/2013
Last updated
01/20/2013
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