Individual
ANGELA LOUISE WHITENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 714-4480
Mailing address
727 VASSAR DR, FENTON, MI 48430-2231
(810) 845-8040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002450
MI
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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