Individual
MRS. ANGELA MICHELLE WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
211 10TH ST, WAKEFIELD, NE 68784-5014
(402) 287-2061
Mailing address
53262 865 RD, PLAINVIEW, NE 68769-2504
(402) 582-3869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1324
NE
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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