Individual
JENNIFER ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
310 N YELLOWSTONE DR, MADISON, WI 53705-2446
(608) 213-9763
Mailing address
310 N YELLOWSTONE DR, MADISON, WI 53705-2446
(608) 213-9763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5510-26
WI
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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