Individual
MRS. ANGELA CATHERINE SORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
110 CAMPUS DRIVE, BRADFORD, PA 16701
(814) 362-6535
(814) 887-5666
Mailing address
238 ASH ST, ST. MARY'S, PA 15857-1660
(814) 594-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014338240001
—
PA
Enumeration date
02/17/2009
Last updated
02/17/2009
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