Angela V. Formaz, MS, ATC
NPI #1053689109 in Allentown, Pennsylvania
Provider Information
- NPI Number
- 1053689109
- Entity Type
- Individual
- Name
- Angela V. Formaz, MS, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC
- Enumeration Date
- Dec 5, 2011
- Last Updated
- Dec 5, 2011
Practice Location
- Address
- 250 CETRONIA RD
- City
- Allentown
- State
- Pennsylvania
- ZIP Code
- 18104-9147
- Phone
- (610) 973-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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