Individual
MRS. ANGELA ANGEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3 SUMMIT CT, FISHKILL, NY 12524-1334
(845) 896-1500
Mailing address
480 HULSETOWN RD, CAMPBELL HALL, NY 10916-3202
(845) 283-3346
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007977-1
NY
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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