Individual
ANGELA JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30962 UNIVERSITY RD, VERMILLION, SD 57069-6825
(605) 670-8802
Mailing address
30962 UNIVERSITY RD, VERMILLION, SD 57069-6825
(605) 670-8802
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0652
SD
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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