Provider Demographics
NPI:1649355603
Name:ISAAC, ANGELA D (PT)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:D
Last Name:ISAAC
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 MOULTRIE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-6034
Mailing Address - Country:US
Mailing Address - Phone:415-648-0196
Mailing Address - Fax:415-374-7058
Practice Address - Street 1:630 MOULTRIE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-6034
Practice Address - Country:US
Practice Address - Phone:415-648-0196
Practice Address - Fax:415-374-7058
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics