Provider Demographics
NPI:1407720832
Name:BROWN, ANGELA CATHERINE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:CATHERINE
Last Name:BROWN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 W LOBELIA ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-4577
Mailing Address - Country:US
Mailing Address - Phone:605-359-7652
Mailing Address - Fax:
Practice Address - Street 1:7409 W LOBELIA ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-4577
Practice Address - Country:US
Practice Address - Phone:605-359-7652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist