Individual
MRS. ANGELINA MARIE FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, ATC
Contact information
Practice address
5345 MARIAN LN, VIRGINIA BEACH, VA 23462-1841
(757) 473-0693
(757) 473-0694
Mailing address
1421 GARWOOD AVE, VIRGINIA BEACH, VA 23455-4127
(757) 318-9088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602042
VA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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