Most Relevant Information
Provider Data
| NPI Number: | 1003550583 |
| Provider Name: | ANGELIKA FAITH PEL PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 301977 |
Most Important Dates
| Enumeration Date: | 04/21/2022 |
| Last Updated: | 04/21/2022 |
Provider Practice Location
12150 INDUSTRY BLVD STE 42
JACKSON
CA
956429375
Practice Location Phone/Fax
| Phone: | 5302239410 |
| Fax: |
Provider Mailing Location
1252 BROADWAY
PLACERVILLE
CA
956675822
Provider Mailing Phone/Fax
| Phone: | 5302239410 |
| Fax: |