Individual
ANGELA ANZELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3111 CLEARWATER DR STE C, PRESCOTT, AZ 86305-7186
(928) 777-9890
Mailing address
3111 CLEARWATER DR STE C, PRESCOTT, AZ 86305-7186
(928) 777-9890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1059
AZ
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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