Individual
ANGELLE N NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 TROY RD, EDWARDSVILLE, IL 62025-2540
(618) 800-4620
Mailing address
2122 TROY RD, EDWARDSVILLE, IL 62025-2540
(618) 800-4620
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056016004
IL
225XP0200X
Pediatric Occupational Therapist
2024016293
MO
Other
Enumeration date
05/10/2024
Last updated
01/05/2026
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