Individual
DR. ANGELA KAYE MOORE TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
352 E RIVERSIDE DR STE A6, ST GEORGE, UT 84790-6999
(204) 355-7934
(435) 213-2691
Mailing address
3068 SWAPS DR, ST GEORGE, UT 84790-7468
(435) 579-3494
(435) 213-2691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2022
ID
Other
Enumeration date
11/01/2006
Last updated
07/22/2021
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