Individual
MS. ANGELLA ADELLE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1119 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1209
(262) 284-5892
Mailing address
2544 N FREDERICK AVE APT 202, MILWAUKEE, WI 53211-4018
(608) 385-7242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4172-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40876900
—
WI
Enumeration date
05/02/2007
Last updated
07/08/2007
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