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Individual

ANGELA DALE MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3260 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 758-0000
(815) 991-2681
Mailing address
1952 ABERDEEN CT, SYCAMORE, IL 60178-3175
(815) 758-0000
(815) 991-2681

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011605
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070011605
PHYSICAL THERAPIST
IL
Enumeration date
03/14/2006
Last updated
07/15/2014
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