Individual
ANGELIKA CANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 WILLOW WELL LN, KEARNEYSVILLE, WV 25430-5812
(240) 217-9170
Mailing address
140 WILLOW WELL LN, KEARNEYSVILLE, WV 25430-5812
(240) 217-9170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603700
VA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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