Provider Demographics
NPI:1952750515
Name:HOSACK, ANGELA MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:HOSACK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 KLUMAC RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-5722
Mailing Address - Country:US
Mailing Address - Phone:336-263-5871
Mailing Address - Fax:
Practice Address - Street 1:820 KLUMAC RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-5722
Practice Address - Country:US
Practice Address - Phone:336-263-5871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP147132251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics