Individual
ANGEL MARIE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
1331 TRUMBULL ST STE 100, DETROIT, MI 48216-1376
(313) 962-9050
Mailing address
19977 HUDSON BAY, CLINTON TWP, MI 48038-1493
(586) 416-1990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04870
OHIO PHYSICAL THERAPY
OH
Enumeration date
06/04/2007
Last updated
07/08/2007
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