| NPI | 1679843775 |
|---|---|
| Former Name | ANGELA K HARTWIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004865) |
| 225100000X Physical Therapist (Licence: IL 070-019044) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2015-12-01 |