Individual
ANGELA SHANNON DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12124 MELODY DR APT 202, WESTMINSTER, CO 80234-2175
(970) 467-0157
Mailing address
12124 MELODY DR APT 202, WESTMINSTER, CO 80234-2175
(970) 467-0157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012476
CO
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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