Individual
ANGEL SICAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
18550 DE PAUL DR, MORGAN HILL, CA 95037-2911
(408) 779-4343
Mailing address
14245 LORA DR APT 16, LOS GATOS, CA 95032-1235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302665
CA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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