Individual
TAMMY RENEE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 KY HWY 191, CAMPTON, KY 41301
(606) 668-3216
(606) 668-3220
Mailing address
850 KY HWY 191, CAMPTON, KY 41301
(606) 668-3216
(606) 668-3220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134452
KY
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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