Individual
ANGELA RENEE DIEBAL-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, DSC, OCS, SCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002023324
MO
2251S0007X
Sports Physical Therapist
39669
MO
2251X0800X
Orthopedic Physical Therapist
22067
MO
Other
Enumeration date
01/02/2007
Last updated
04/21/2026
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