NPI 1053659433
Angela M Fenlon, CTRSATRICCMS
Practice location
- Address
- 10593 Northfield Dr, Zeeland, MI 49464-6847
- Phone
- (616) 510-1128
- Fax
- (855) 207-3270
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1053659433
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jan 2013
- Record last updated
- 20 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.