Individual
MRS. ANGELA RAE MULHOLLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
429 MANOR DR STE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
(814) 472-1293
Mailing address
903 MAPLE ST, PORTAGE, PA 15946-1415
(814) 341-4686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002883
PA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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