Angela R Ertl, PT

NPI #1104943638 in Waukee, Iowa

Provider Information

NPI Number: 1104943638
Entity Type: Individual
Name: Angela R Ertl, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 640 WESTBRANCH DR
City: Waukee
State: Iowa
ZIP Code: 50263-9582
Phone: (515) 689-1255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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