Individual
ANGELA RENEE DIEBAL-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, DSC, OCS, SCS
Contact information
Practice address
4234 ILLINOIS AVENUE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0414
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
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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