Doctor Name: | MISS KATIE ANGELUCCI |
NPI Number: | 1003283011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT024521 |
Business Practice Address: | 341 10th Ave Suite 101 Royersford, PA - 194683807 |
Business Phone Number: | 6107928100 |
Business Fax Number: | 6107921535 |
Mailing Address: | 120 W Germantown Pike, Suite 100 PLYMOUTH MEETING |
State: | PA |
Postal Code: | 194621420 |
Phone Number: | 6102700370 |
Fax Number: | 6102700374 |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT024521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |