Most Relevant Information
Provider Data
| NPI Number: | 1003031964 |
| Provider Name: | ANGELA ROY PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2711 |
Most Important Dates
| Enumeration Date: | 04/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
173 GROVE ST
WORCESTER
MA
016051715
Practice Location Phone/Fax
| Phone: | 5087918740 |
| Fax: |
Provider Mailing Location
173 GROVE ST
WORCESTER
MA
016051715
Provider Mailing Phone/Fax
| Phone: | 5087918740 |
| Fax: |