Individual
JASON ANGELICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
720 ELM ST STE C, WILMINGTON, OH 45177-2878
(937) 283-2186
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA010031
OH
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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