Individual
BETH ANGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5636
Mailing address
13863 PERNELL DR, STERLING HEIGHTS, MI 48313-4249
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201000978
MI
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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