Angela R Ertl PT

NPI 1104943638 - Physical Therapist - 225100000X

NPI Details
NPI 1104943638
Gender Female
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
640 WESTBRANCH DR
WAUKEE IA, 50263-9582, US
Phone (515) 689-1255
Fax
Business Location
640 WESTBRANCH DR
WAUKEE IA, 50263-9582, US
Phone (515) 689-1255
Fax
Toxanomy
Taxonomy Code 225100000X
License State Iowa
License Number 02126
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According to our database, Angela R Ertl PT NPI is 1104943638, taxonomy code is 225100000X and license number is 02126, license state is located at Iowa. Angela R Ertl PT physically located at 640 Westbranch Dr, Waukee IA, 50263-9582. NPI Number Angela R Ertl PT has the Individual type.

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1104943638 NPI number is provided on an as is basis without warranty of any kind. 1104943638 is maintained by the National Plan & Provider Enumeration System. The contents of Angela R Ertl PT are for informational purposes only.