Individual
MISS ANGELA R LANZILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
132 HATFIELD ST, PAWTUCKET, RI 02861-2956
(401) 935-2777
Mailing address
132 HATFIELD ST, PAWTUCKET, RI 02861
(401) 935-2777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00634
RI
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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