Individual
MRS. ANGELA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N6053 OPPERMAN WAY, SHAWANO, WI 54166-5983
(920) 855-2114
Mailing address
N6053 OPPERMAN WAY, SHAWANO, WI 54166-5983
(920) 855-2114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1604-27
WI
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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