Healthcare Provider Details

I. General information

NPI: 1134046873
Provider Name (Legal Business Name): ANGELA MARIE MCFARLAND OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 LA HACIENDA CT
JEFFERSON CITY MO
65101-3794
US

IV. Provider business mailing address

1517 LA HACIENDA CT
JEFFERSON CITY MO
65101-3794
US

V. Phone/Fax

Practice location:
  • Phone: 573-680-5925
  • Fax:
Mailing address:
  • Phone: 573-680-5925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2015012621
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2015012621
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number2015012621
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: