| Doctor Name: | MISS ANGELES FERNANDEZ MOJICA |
| NPI Number: | 1639253768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2005036207 |
| Business Practice Address: | 300 Floyd Dr Sikeston, MO - 638013960 |
| Business Phone Number: | 5734720397 |
| Business Fax Number: | 5734720409 |
| Mailing Address: | 102 Kennedy Dr Apt 4, SIKESTON |
| State: | MO |
| Postal Code: | 638015153 |
| Phone Number: | 4174999132 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2005036207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |