Individual
ANGELA M FENUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1850 E PARK AVE, SUITE 112, STATE COLLEGE, PA 16803-6705
(814) 865-3566
(814) 863-7803
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021817
PA
Other
Enumeration date
02/14/2012
Last updated
06/22/2012
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