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NPI Code Detail

MEDICARE: ANGELA JEAN ABEL OTR/L

MEDICARE: ANGELA JEAN ABEL OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XG0600XGerontology Occupational Therapist17-02815KS

General Provider Information

NPI Number : 1780087650
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA JEAN ABEL OTR/L
Provider Business Mailing Address
First Line : 14499 US 59 HWY
Second Line :
City : OSKALOOSA
State : KS
Zip : 66066-5026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1031 SW FLEMING CT
Second Line :
City : TOPEKA
State : KS
Zip : 66604-1851
Country : US
Telephone Number : 785-440-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2014
Last Update Date : 10/06/2014

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