Individual
ANGELA MARIE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6218 ABERCORN AVE, PORTAGE, IN 46368-4502
(219) 510-7721
Mailing address
6218 ABERCORN AVE, PORTAGE, IN 46368-4502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IN
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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