Individual
MS. ANGELA BANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1701 LIBRARY BLVD, SUITE J, GREENWOOD, IN 46142-1567
(317) 881-9965
Mailing address
2703 BROWNSBORO RD APT 4, LOUISVILLE, KY 40206-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
240604
KY
Other
Enumeration date
01/23/2017
Last updated
03/20/2019
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