| NPI | 1962629998 |
|---|---|
| Former Name | ANGELA T. MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2009027345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02529) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-08-05 |