Individual
ANGELA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
9155 RIDGELINE DR, REYNOLDSBURG, OH 43068-9474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005048
OH
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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