Individual
ANGELA KATHLEEN MOROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R MASTERS
Contact information
Practice address
199 SHERBROOKE AVE, WILLIAMSVILLE, NY 14221-4639
(716) 626-5824
Mailing address
199 SHERBROOKE AVE, WILLIAMSVILLE, NY 14221-4639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63-006212
NY
Other
Enumeration date
05/15/2011
Last updated
05/15/2011
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