Individual
MRS. ANGELA ROSE MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T
Contact information
Practice address
115 W PORT AU PRINCE LN, MOSCOW MILLS, MO 63362-1056
(636) 366-4049
Mailing address
115 W PORT AU PRINCE LN, MOSCOW MILLS, MO 63362-1056
(636) 366-4049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006038816
MO
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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