Individual
MRS. ANGELA ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
251 LANDIS AVE STE 201, CHULA VISTA, CA 91910-2629
(619) 498-8450
(619) 498-8453
Mailing address
11459 CLOUDCREST DR, SAN DIEGO, CA 92127-2027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6330
CA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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