Oliver Marcyl Ang, PT
Physical Therapist in Roseville, CA. Individual provider (NPI-1).
NPI number1235443177
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1235443177
- Entity type
- Individual (NPI-1)
- Name
- Oliver Marcyl Ang
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2010
- Certification date
- Oct 29, 2024
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT304975 | CA | Yes |
| 225100000X | Physical Therapist | 8572 | MN |
Practice location
568 N Sunrise Ave Ste 100Roseville, CA 95661-3097
Phone 916-865-1100 · Fax 763-260-7653
Mailing address
Po Box 255228Sacramento, CA 95865-5228
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