Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 17-02815 | KS |
NPI | 1780087650 |
---|---|
Provider Name | Angela Jean Abel |
First Address | Oskaloosa, KS 66066-5026 |
Second Address | Topeka, KS 66604-1851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2014 |
Last Update Date | 06/10/2014 |