Individual
ANGELICA MARCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1023 W MAIN ST, VEVAY, IN 47043-9192
(812) 427-2803
Mailing address
5641 W HOLLY HILLS RD, HANOVER, IN 47243-9224
(812) 493-3426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005908A
IN
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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