Individual
MRS. ANGELA MARIE HANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
107 CONCORD PLAZA, ST LOUIS, MO 63128
(314) 842-2990
(314) 842-5162
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103415
MO
Other
Enumeration date
09/26/2006
Last updated
10/11/2018
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