Individual
MISS ANGELA MARCOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 BASIL RD, LAKE BLUFF, IL 60044
(224) 288-8797
(847) 574-5902
Mailing address
600 BASIL RD, LAKE BLUFF, IL 60044-1704
(224) 288-8797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047345
NY
225100000X
Physical Therapist
Primary
070.021243
IL
225100000X
Physical Therapist
PT 28548
FL
Other
Enumeration date
10/21/2013
Last updated
08/15/2023
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