Individual
MRS. ANGELA ELAINE WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
222 W EDISON AVE, NEW CASTLE, PA 16101-2174
(724) 652-6340
Mailing address
222 W EDISON AVE, NEW CASTLE, PA 16101-2174
(724) 652-6340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007038
PA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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