Angela Lamar
Individual provider Active NPI Physical Therapy Assistant · Warren, IN
NPI 1639320104 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1639320104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06003310A (IN)
- Practice address
- 716 E Jefferson St
Warren, IN 46792-0152 - Phone
- (260) 519-0785
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06003310A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003310A | IN | Yes |
Addresses
Primary practice location
716 E Jefferson St
Warren, IN 46792-0152
Mailing address
716 E Jefferson St
Warren, IN 46792-0152
Phone (260) 519-0785
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- Alyssa J Malone
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All providers in Warren, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.