Moderson, Angela Jean

Moderson, Angela Jean is an individual health care provider with primary practice located at 717 E Alfred St , Weyauwega WI 54983-9024. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moderson, Angela Jean can be contacted via phone (920) 867-3121.

Contact Information

Primary practice address
717 E Alfred St Weyauwega WI 54983-9024
Phone: (920) 867-3121
Fax: (920) 867-3997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 856-019 Wisconsin

Profile Details

NPI number 1447407341
LBN Legal business name Moderson, Angela Jean
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Aug 21st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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