Individual
ANDREW BRYANT ANGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 E CHURCH ST, URBANA, OH 43078-1825
(740) 604-6741
Mailing address
404 E CHURCH ST, URBANA, OH 43078-1825
(740) 604-6741
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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