Provider Demographics
NPI:1235255779
Name:LAPORTA, ANGELA (CMT)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:LAPORTA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 OAK CREEK CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-5212
Mailing Address - Country:US
Mailing Address - Phone:925-674-9854
Mailing Address - Fax:
Practice Address - Street 1:3483 GOLDEN GATE WAY STE 204A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4446
Practice Address - Country:US
Practice Address - Phone:925-284-3456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist