Provider Demographics
NPI:1720614175
Name:ROWLAND, ANGELA (RRT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:HOMER CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15748-7919
Mailing Address - Country:US
Mailing Address - Phone:724-479-2828
Mailing Address - Fax:
Practice Address - Street 1:615 SMITH RD
Practice Address - Street 2:
Practice Address - City:HOMER CITY
Practice Address - State:PA
Practice Address - Zip Code:15748-7919
Practice Address - Country:US
Practice Address - Phone:724-479-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAYM007129L2279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care