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Ashlen Richelle Angelo, MOT, OTR/L

Occupational Therapist in Merriam, KS. Individual provider (NPI-1).

NPI number1467723536
StatusActive
Last updated in NPPESJan 22, 2012

Details

NPI
1467723536
Entity type
Individual (NPI-1)
Name
Ashlen Richelle Angelo
Credential
MOT, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Jan 22, 2012
Last updated
Jan 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist17-02775KSYes
225X00000X Occupational Therapist2011025661MO

Practice location

6700 Antioch Rd
Ste 120
Merriam, KS 66204-1497

Phone 888-652-9225

Mailing address

6700 Antioch Rd
Ste 120
Merriam, KS 66204-1497

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