Individual
ANGELA FORMANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
(216) 361-6141
Mailing address
330 CHESAPEAKE CV, PAINESVILLE, OH 44077-1370
(440) 251-2741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017896
OH
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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