Individual
MR. JEFFREY ALAN ANGELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.
Contact information
Practice address
5914 WOLFPEN PLEASANT HILL RD, SUITE D, MILFORD, OH 45150-3078
(513) 575-7878
(513) 965-0047
Mailing address
5914 WOLFPEN PLEASANT HILL RD, SUITE D, MILFORD, OH 45150-3078
(513) 575-7878
(513) 965-0047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT06599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21493Z
ANTHEM
OH
05
—
2455801
—
OH
Enumeration date
11/14/2005
Last updated
11/21/2018
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