Individual
ANGELA ANNETTE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
150 MARINER HEALTH WAY, ST AUGUSTINE, FL 32086-3215
(904) 794-9988
(904) 794-0898
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19794
FL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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