Individual
ANGELA MARIE FILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1740 SYCAMORE AVE STE B, KINGMAN, AZ 86409-1039
(928) 757-2100
Mailing address
4159 PINTO RD, KINGMAN, AZ 86401-7270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10890A
AZ
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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