Individual
AMIE JO ANGELASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1019786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158987
—
OR
Enumeration date
01/10/2006
Last updated
01/09/2023
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