Angela Rose Marty M.P.T

NPI 1750530820 - Physical Therapist - 225100000X

NPI Details
NPI 1750530820
Gender Female
Enumeration Date 09/15/2008
Last Updated 09/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
115 W PORT AU PRINCE LN
MOSCOW MILLS MO, 63362-1056, US
Phone (636) 366-4049
Fax
Business Location
115 W PORT AU PRINCE LN
MOSCOW MILLS MO, 63362-1056, US
Phone (636) 366-4049
Fax
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 2006038816
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According to our database, Mrs. Angela Rose Marty M.P.T NPI is 1750530820, taxonomy code is 225100000X and license number is 2006038816, license state is located at Missouri. Angela Rose Marty M.P.T physically located at 115 W Port Au Prince Ln, Moscow Mills MO, 63362-1056. NPI Number Angela Rose Marty M.P.T has the Individual type.

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1750530820 NPI number is provided on an as is basis without warranty of any kind. 1750530820 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Rose Marty M.P.T are for informational purposes only.