Individual
ANGELA DAWN PROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 E MAIN ST STE C, PAYSON, AZ 85541-5488
(928) 471-3445
(928) 471-1015
Mailing address
126 E MAIN ST STE C, PAYSON, AZ 85541-5488
(928) 471-3445
(928) 471-1015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
2652
AZ
Other
Enumeration date
02/05/2018
Last updated
01/10/2025
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