Individual
ANGELA J. STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
436 SPRING GATE RD, STONE MOUNTAIN, GA 30087-6300
(770) 413-9169
Mailing address
436 SPRING GATE RD, STONE MOUNTAIN, GA 30087-6300
(770) 413-9169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001373
GA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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