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Michelle Angelo, DPT

Physical Therapist in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1700102498
StatusActive
Last updated in NPPESApr 20, 2010

Details

NPI
1700102498
Entity type
Individual (NPI-1)
Name
Michelle Angelo
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2010
Last updated
Apr 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist6511SCYes

Practice location

307 74th Ave N
#4b
Myrtle Beach, SC 29572-3837

Phone 203-231-9505

Mailing address

307 74th Avenue North
#4b
Myrtle Beach, SC 29572

Phone 203-231-9505

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