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Individual

MS. ANGELA JANENE MCQUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1105 STATE ST, MOUND CITY, MO 64470-7202
(660) 442-3128
(660) 442-3717
Mailing address
PO BOX 308, 1105 STATE STREET, MOUND CITY, MO 64470-0308
(660) 442-3128
(660) 442-3717

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004858
MO

Other

Enumeration date
05/03/2012
Last updated
05/03/2012
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