Individual
ANGELINA MARIA POP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3400 W WASHINGTON ST, SPRINGFIELD, IL 62711-7917
(217) 787-9600
Mailing address
1421 MOSSMAN AVE, SPRINGFIELD, IL 62702-4717
(217) 415-4208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003830
IL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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