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Angel Michelle Stoner, PTA

Physical Therapy Assistant in Cape Girardeau, MO. Individual provider (NPI-1).

NPI number1962012286
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1962012286
Entity type
Individual (NPI-1)
Name
Angel Michelle Stoner
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 1, 2020
Certification date
Aug 1, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2013005289MOYes

Practice location

2126 Broadway St
Cape Girardeau, MO 63701-4411

Phone 573-986-4411

Mailing address

2126 Broadway St
Cape Girardeau, MO 63701-4411

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