Provider Demographics
NPI:1497889919
Name:OXFORD, ANGELA KRISTIN (ATC, O-PAC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:KRISTIN
Last Name:OXFORD
Suffix:
Gender:F
Credentials:ATC, O-PAC
Other - Prefix:
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Mailing Address - Street 1:7000 LINCOLN DR
Mailing Address - Street 2:APT A3
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-3044
Mailing Address - Country:US
Mailing Address - Phone:215-753-7798
Mailing Address - Fax:251-291-3776
Practice Address - Street 1:2301 E ALLEGHENY AVE
Practice Address - Street 2:SPORTS MEDICINE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-291-3777
Practice Address - Fax:215-291-3776
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PART001876A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer