Individual
MRS. ANGELA LUNCEFORD WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
521 ANTHONY ST, GREENCASTLE, IN 46135-7321
(765) 653-9405
Mailing address
521 ANTHONY STREET, GREENCASTLE, IN 46135
(765) 653-9405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002402A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31002402A
STATE LICENSING BOARD
IN
Enumeration date
09/14/2010
Last updated
09/14/2010
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