Individual
ANGELA M BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4670
Mailing address
23178 REBECCA DR, ELKHART, IN 46517-9172
(574) 215-8446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002423A
IN
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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