Provider Demographics
NPI:1952697344
Name:SAPORITA, ANGELA L (DPT)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:L
Last Name:SAPORITA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PATRICIA WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-9300
Mailing Address - Country:US
Mailing Address - Phone:406-961-7503
Mailing Address - Fax:406-540-5476
Practice Address - Street 1:204 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2552
Practice Address - Country:US
Practice Address - Phone:406-375-0980
Practice Address - Fax:406-375-9938
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2429PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist