Individual
MS. ANGELA L SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
623 RIDGE RD, LYNDHURST, NJ 07071-3205
(201) 340-4656
Mailing address
131 RUTHERFORD PL, KEARNY, NJ 07032-3216
(201) 473-1056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QB00393200
NJ
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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