Provider Demographics
NPI:1922200146
Name:DANEK, ANGELA MARIE (LMT, DOULA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIE
Last Name:DANEK
Suffix:
Gender:F
Credentials:LMT, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:15348-0175
Mailing Address - Country:US
Mailing Address - Phone:203-725-6464
Mailing Address - Fax:
Practice Address - Street 1:163 MORRIS ST
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-3319
Practice Address - Country:US
Practice Address - Phone:203-723-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002946225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist