Individual
DR. ANGELA LYNN WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, DSCPT
Contact information
Practice address
1 CARMANS RD, MASSAPEQUA PARK, NY 11762-1438
(516) 608-6200
(516) 541-7368
Mailing address
1 CARMANS RD, MASSAPEQUA PARK, NY 11762-1438
(516) 608-6200
(516) 541-7368
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
018998
MD
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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