Individual
MICHAEL DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1931 LAKEWOOD RD, TOMS RIVER, NJ 08755-1211
(732) 501-9602
Mailing address
150 FLIPPER AVE, MANAHAWKIN, NJ 08050-1833
(732) 501-9602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00369200
NJ
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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