Individual
MICHELLE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
307 74TH AVE N, #4B, MYRTLE BEACH, SC 29572-3837
(203) 231-9505
Mailing address
307 74TH AVENUE NORTH, #4B, MYRTLE BEACH, SC 29572
(203) 231-9505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6511
SC
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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