Provider Demographics
NPI:1699896191
Name:KALMAN, ANGELA M (OTRL)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:KALMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:COTILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2407 NW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6210
Mailing Address - Country:US
Mailing Address - Phone:561-487-7204
Mailing Address - Fax:
Practice Address - Street 1:2407 NW 30TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6210
Practice Address - Country:US
Practice Address - Phone:561-487-7204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12460225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist