Individual
ANGELA BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
752 GLENVIEW DR, APT 106, SAN BRUNO, CA 94066-3744
(408) 679-0216
Mailing address
752 GLENVIEW DR, #106, SAN BRUNO, CA 94066-3744
(408) 679-0216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8122
CA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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