Individual
MS. ANGELA WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7955 WILLOW PT, GAINESVILLE, GA 30506-7933
(770) 844-0206
Mailing address
7955 WILLOW PT, GAINESVILLE, GA 30506-7933
(770) 844-0206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002399
GA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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