Angela J. Staples PTA

NPI 1134346471 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1134346471
Gender Female
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
436 SPRING GATE RD
STONE MOUNTAIN GA, 30087-6300, US
Phone (770) 413-9169
Fax
Business Location
436 SPRING GATE RD
STONE MOUNTAIN GA, 30087-6300, US
Phone (770) 413-9169
Fax
Toxanomy
Taxonomy Code 225200000X
License State Georgia
License Number 001373
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According to our database, Angela J. Staples PTA NPI is 1134346471, taxonomy code is 225200000X and license number is 001373, license state is located at Georgia. Angela J. Staples PTA physically located at 436 Spring Gate Rd, Stone Mountain GA, 30087-6300. NPI Number Angela J. Staples PTA has the Individual type.

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1134346471 NPI number is provided on an as is basis without warranty of any kind. 1134346471 is maintained by the National Plan & Provider Enumeration System. The contents of Angela J. Staples PTA are for informational purposes only.