Provider Demographics
NPI:1790501187
Name:STOEHR, ANGEL VERMEERSCH
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:VERMEERSCH
Last Name:STOEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 HOFFMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2317
Mailing Address - Country:US
Mailing Address - Phone:412-462-4313
Mailing Address - Fax:
Practice Address - Street 1:1305 HOFFMAN BLVD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2317
Practice Address - Country:US
Practice Address - Phone:412-462-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist