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ANGELA BETH ANDERSON PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1174910343

Individual Registrant:
 ANGELA BETH ANDERSON PTA
Gender: F
Sole Proprietor

Location and contact information for practice:
752 GLENVIEW DR APT 106 SAN BRUNO, CA 94066-3744 US
Tel: 408-679-0216  Fax: --

Contact information for business:
752 GLENVIEW DR #106 SAN BRUNO, CA 94066-3744 US
Tel: 408-679-0216  Fax: --

Registration Information:
NPI: 1174910343
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CAAT8122

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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