Provider Demographics
NPI:1982184701
Name:SANTORO, ANGELA R (PT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:SANTORO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:R
Other - Last Name:RIGGS, KESLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22038 OLD 44 DR
Mailing Address - Street 2:
Mailing Address - City:PALO CEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:96073-8707
Mailing Address - Country:US
Mailing Address - Phone:530-547-3220
Mailing Address - Fax:530-547-3221
Practice Address - Street 1:22038 OLD 44 DR
Practice Address - Street 2:
Practice Address - City:PALO CEDRO
Practice Address - State:CA
Practice Address - Zip Code:96073-8707
Practice Address - Country:US
Practice Address - Phone:530-547-3220
Practice Address - Fax:530-547-3221
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist