IndividualActive
Angelle Newell
NPI 1831947167 · Pediatric Occupational Therapist · Edwardsville, IL
Provider details
- NPI number
- 1831947167
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2024016293 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2122 Troy Rd
Edwardsville, IL 62025-2540
Phone: (618) 800-4620
Approximate (ZIP-level) locationGet directions
Mailing address
2122 Troy Rd
Edwardsville, IL 62025-2540
Registry dates
- Enumerated
- 2024-05-10
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.