Moylan, Angela
Moylan, Angela is an sole proprietor health care provider with primary practice located at 3396 E Main St , Waterbury CT 06705-3812. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moylan, Angela can be contacted via phone (203) 754-2161.Contact Information
Primary practice address
3396 E Main St
Waterbury CT 06705-3812
Phone: (203) 754-2161
Fax: (203) 759-7359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 007374 | Connecticut |
Profile Details
| NPI number | 1871643486 |
|---|---|
| LBN Legal business name | Moylan, Angela |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 23rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871643486 | NPPES |
| Connecticut | Other | 11758617 | CAQH |
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