Individual
ANGELA AIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2001 PERALTA ST STE C, OAKLAND, CA 94607-1600
(909) 762-5099
Mailing address
679 43RD ST, OAKLAND, CA 94609-1839
(909) 762-5099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297339
CA
Other
Enumeration date
09/06/2019
Last updated
05/01/2024
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