Angela Vice, PTA

NPI #1497088124 in Springfield, Virginia

Provider Information

NPI Number: 1497088124
Entity Type: Individual
Name: Angela Vice, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 14, 2009
Last Updated: Sep 14, 2009

Practice Location

Address: 6501 LOISDALE CT
City: Springfield
State: Virginia
ZIP Code: 22150-1826
Phone: (703) 922-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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