Individual
ANGELA RENEE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 SHADY LANE DR, WABASH, IN 46992-3815
(803) 760-9446
Mailing address
240 SHADY LANE DR, WABASH, IN 46992-3815
(803) 760-9446
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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