Individual
SHAWNA ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
Mailing address
9650 2150 RD, AUSTIN, CO 81410-8345
(970) 835-4611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1061336
CO
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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