Individual
MRS. ANGELA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 BOYCE DR, RHINELANDER, WI 54501-3835
(715) 493-6809
Mailing address
900 BOYCE DR, RHINELANDER, WI 54501-3835
(715) 493-6809
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
703027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40881500
—
WI
Enumeration date
05/12/2008
Last updated
05/12/2008
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