Individual
ANGELA G RENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
705 LUCKY ST, FAYETTE, MO 65248-1140
(660) 248-3800
(660) 248-2610
Mailing address
11695 HWY N, PILOT GROVE, MO 65276
(660) 248-3800
(660) 248-3702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114540
MO
Other
Enumeration date
10/01/2007
Last updated
02/19/2009
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