Individual
MRS. ANGIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Mailing address
4970 BUTLER RD, WAKEMAN, OH 44889-9033
(419) 577-4101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05762
OH
Other
Enumeration date
06/24/2014
Last updated
04/09/2019
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