Individual
MR. JONATHAN CARY ANGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
7419 GRANBY ST, NORFOLK, VA 23505-3406
(757) 489-5820
(757) 489-5822
Mailing address
7419 GRANBY ST, NORFOLK, VA 23505-3406
(757) 489-5820
(757) 489-5822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602857
VA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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