Individual
MRS. ANGELA MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
721 LA BONNE PKWY, MANCHESTER, MO 63021-7005
(636) 226-5667
Mailing address
721 LA BONNE PKWY, MANCHESTER, MO 63021-7005
(636) 226-5667
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016025834
MO
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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