Individual
ANGELA WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
8450 CITY CENTRE DR, WOODBURY, MN 55125-5308
(952) 767-4230
Mailing address
5710 BAKER RD, MINNETONKA, MN 55345-5901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104819
MN
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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