Provider Demographics
NPI:1780990861
Name:GARNER, ANJELA KAREN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ANJELA
Middle Name:KAREN
Last Name:GARNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANJELA
Other - Middle Name:KAREN
Other - Last Name:ARGUELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:920 UPLAND WAY
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-6064
Mailing Address - Country:US
Mailing Address - Phone:307-875-1847
Mailing Address - Fax:307-875-4269
Practice Address - Street 1:920 UPLAND WAY
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-6064
Practice Address - Country:US
Practice Address - Phone:307-875-1847
Practice Address - Fax:307-875-4269
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY482225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist