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Individual

ANGELA RUTH ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1111 KENTUCKY AVE., WEST PLAINS, MO 65775
(417) 257-5959
(417) 257-5814
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5814
(417) 257-5814

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008021290
MO

Other

Enumeration date
09/19/2008
Last updated
11/05/2015
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