Individual
ANGELA MISHOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
42 BUCKSPORT RD, ELLSWORTH, ME 04605-2230
(207) 667-9036
(207) 667-7197
Mailing address
37 OAK ST, OLD TOWN, ME 04468-1639
(207) 299-6946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1162
ME
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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