Individual
MRS. ANGELLA SUE CARTWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02125
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665349
—
IA
01
—
47586
BCBS INDIVIDUAL PROVIDER
IA
01
—
6-6534
BCBS GROUP NUMBER
IA
Enumeration date
10/10/2005
Last updated
07/09/2007
Update your record
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