| NPI | 1265468037 |
|---|---|
| Former Name | ANGELA MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03497) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IA 03497) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-03-11 |