Individual
MS. ANGELA GRIESENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5570 PEBBLE VILLAGE LN, SUITE 400, NOBLESVILLE, IN 46062-7423
(317) 770-9223
(317) 770-9266
Mailing address
5570 PEBBLE VILLAGE LN, SUITE 400, NOBLESVILLE, IN 46062-7423
(317) 770-9223
(317) 770-9266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3100746A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31003746A
INDIANA LICENSE NUMBER
IN
Enumeration date
01/23/2007
Last updated
05/01/2009
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