Angela S Kisner, PT

NPI #1053419325 in St Charles, Illinois

Provider Information

NPI Number: 1053419325
Entity Type: Individual
Name: Angela S Kisner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3815 E MAIN ST
Address 2: SUITE B
City: St Charles
State: Illinois
ZIP Code: 60174-2488
Phone: (630) 584-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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