| NPI | 1255790911 |
|---|---|
| Former Name | ANGELA ROSE BATKEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017591) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5501017591) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2023-10-04 |