NPI | 1376688671 |
---|---|
Other Name | CAROLYN J. DEANGELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MN 52780) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2011-05-10 |