Individual
MR. WILLIAM GERALD ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
6101 16TH ST, RACINE, WI 53406-4467
(262) 898-2770
Mailing address
4848 RIVERSIDE RD, WATERFORD, WI 53185-3328
(414) 550-1810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056006744
IL
225X00000X
Occupational Therapist
Primary
3845-026
WI
Other
Enumeration date
09/28/2007
Last updated
10/09/2013
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