| NPI | 1700911625 |
|---|---|
| Former Name | ANGELA B DORR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT PTP-PT-LIC-1986) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA TX60644860) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-02-14 |