Individual
MRS. ANGELA BOWERS MABALOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3920 BRIDGE RD, SUFFOLK, VA 23435-1107
(757) 983-0025
Mailing address
1003 DARLINGTON CT, SUFFOLK, VA 23434-6765
(757) 710-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208080
VA
Other
Enumeration date
08/02/2013
Last updated
03/28/2017
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