NPI | 1750438719 |
---|---|
Other Name | ANGELA D LISTUG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 1941) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 32299) |
2251X0800X Physical Therapist, Orthopedic (Licence: OR 4617) | |
2251X0800X Physical Therapist, Orthopedic (Licence: WA 9667) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-10-23 |