Most Relevant Information
Provider Data
| NPI Number: | 1003236522 |
| Provider Name: | ANGELA WATERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 2012018184 |
Most Important Dates
| Enumeration Date: | 04/23/2014 |
| Last Updated: | 04/23/2014 |
Provider Practice Location
7371 LAWRENCE 1232
ASH GROVE
MO
656047187
Practice Location Phone/Fax
| Phone: | 4179428212 |
| Fax: |
Provider Mailing Location
7371 LAWRENCE 1232
ASH GROVE
MO
656047187
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |