Individual
ANGELA MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 S CANTON CENTER RD, CANTON, MI 48188-2489
(734) 397-0496
Mailing address
4111 S CANTON CENTER RD, CANTON, MI 48188-2489
(734) 397-0496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020194
MI
2255A2300X
Athletic Trainer
2601002088
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/06/2017
Last updated
04/15/2025
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