Individual
ANGELA VENERONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 453-0411
Mailing address
541 CAROL DR, LAKE HAVASU CITY, AZ 86404-2302
(928) 453-2565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5670
AZ
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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