Doctor Name: | MICHELLE ANGELO |
NPI Number: | 1700102498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 6511 |
Business Practice Address: | 307 74th Ave N #4b Myrtle Beach, SC - 295723837 |
Business Phone Number: | 2032319505 |
Business Fax Number: | |
Mailing Address: | 307 74th Avenue North, #4b MYRTLE BEACH |
State: | SC |
Postal Code: | 29572 |
Phone Number: | 2032319505 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |