| Mrs Angela Joan Shupak, COTA | |
|
1901 Whipporwill Ln, Kilgore, TX 75662-3880 | |
| (903) 984-6264 | |
| Not Available |
| Full Name | Mrs Angela Joan Shupak |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1901 Whipporwill Ln, Kilgore, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669679452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 209497 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela Joan Shupak, COTA 7508 County Road 296 E, Kilgore, TX 75662-1568 Ph: (903) 643-9748 | Mrs Angela Joan Shupak, COTA 1901 Whipporwill Ln, Kilgore, TX 75662-3880 Ph: (903) 984-6264 |
Mrs. Leslie N Greenhouse, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Whipporwill Ln, Kilgore, TX 75662 Phone: 903-983-7775 | |
Kristi L. Shinn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Fm 1252 W, Kilgore, TX 75662 Phone: 903-988-1630 | |
Jessica Davis, OTR, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Dudley Rd, Kilgore, TX 75662 Phone: 903-984-5571 Fax: 903-984-1913 | |
Mrs. Lashonda Gale Portley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Whipporwill Ln, Kilgore, TX 75662 Phone: 903-983-7775 |