Individual
MRS. ANGELA LEE LATIOLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14901 CAREY RD, CARMEL, IN 46033-6000
(877) 407-3422
(877) 407-4329
Mailing address
7696 MOUNT ZION RD, BLOOMINGTON, IN 47403-9457
(812) 330-4375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003588A
IN
Other
Enumeration date
04/17/2007
Last updated
04/21/2025
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