Individual
KATIE JO ANGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 BEECHMONT DR, BROOKLYN, MI 49230-8927
(517) 812-7066
Mailing address
245 BEECHMONT DR, BROOKLYN, MI 49230-8927
(517) 812-7066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003590
MI
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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