Angela Kristine Hackerott, PTA

NPI #1487926150 in Leesburg, Florida

Provider Information

NPI Number
1487926150
Entity Type
Individual
Name
Angela Kristine Hackerott, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 27, 2012
Last Updated
Jan 27, 2012

Practice Location

Address
600 NORTH BLVD W
Address 2
SUITE D
State
Florida
ZIP Code
34748-5063
Phone
(352) 728-6636

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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