| NPI | 1114090123 |
|---|---|
| Former Name | ANGELA GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR 62427) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 11252) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-01-06 |