Angela Carroll P.T.A.

NPI 1154440766 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1154440766
Gender Female
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9119 SHADOW GLEN WAY
FORT MYERS FL, 33913-6602, US
Phone (239) 225-9125
Fax (239) 225-9127
Business Location
9119 SHADOW GLEN WAY
FORT MYERS FL, 33913-6602, US
Phone (239) 225-9125
Fax (239) 225-9127
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA 19917
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According to our database, Angela Carroll P.T.A. NPI is 1154440766, taxonomy code is 225200000X and license number is PTA 19917, license state is located at Florida. Angela Carroll P.T.A. physically located at 9119 Shadow Glen Way, Fort Myers FL, 33913-6602. NPI Number Angela Carroll P.T.A. has the Individual type.

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1154440766 NPI number is provided on an as is basis without warranty of any kind. 1154440766 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Carroll P.T.A. are for informational purposes only.