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Individual

MRS. ANGELA NYBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
236 INDIANA ST, CHINOOK, MT 59523-9716
(406) 344-8080
Mailing address
86 86TH AVE W, HAVRE, MT 59501-8302
(406) 451-6965

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTP-OT-LIC-4728
MT

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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