MEDICARE: MRS. ANGELA ROSE MARTY M.P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2006038816	MO

General Provider Information

NPI Number	:	1750530820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA ROSE MARTY M.P.T

Provider Business Mailing Address
First Line	:	115 W PORT AU PRINCE LN
Second Line	:
City	:	MOSCOW MILLS
State	:	MO
Zip	:	63362-1056
Country	:	US
Telephone Number	:	636-366-4049
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 W PORT AU PRINCE LN
Second Line	:
City	:	MOSCOW MILLS
State	:	MO
Zip	:	63362-1056
Country	:	US
Telephone Number	:	636-366-4049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	09/15/2008

Similar Medicare Providers

1295985463 — MRS. JAMIE LYNN MAGNOTTA OD
Practice Location Address:

100 EVERGREEN DR , STE 117 PEARLE VISION
GLEN MILLS, PA
19342-1056

Practice Phone: 610-558-9803
Practice Fax:

1528469384 — OLAYEMI VICTORIA SWINDELL O.D.
Practice Location Address:

100 EVERGREEN DR , SUITE 117
GLEN MILLS, PA
19342-1056

Practice Phone: 610-558-9803
Practice Fax: 610-558-7612

1013638378 — M3 EYECARE, PLLC
Practice Location Address:

100 EVERGREEN DR
GLEN MILLS, PA
19342-1056

Practice Phone: 610-558-9803
Practice Fax: 610-558-7612

1306532148 — A & K VISION
Practice Location Address:

100 EVERGREEN DR STE 117
GLEN MILLS, PA
19342-1056

Practice Phone: 610-558-9803
Practice Fax:

1134904519 — ALPHA OPTICAL GLEN MILLS, LLC
Practice Location Address:

100 EVERGREEN DR STE 117
GLEN MILLS, PA
19342-1056

Practice Phone: 610-558-9803
Practice Fax:

1427126242 — A & B MEDICAL SUPPLIES, LLC
Practice Location Address:

444 GRACIE LN
MOSCOW MILLS, MO
63362-1142

Practice Phone: 636-356-4803
Practice Fax: 636-356-4605

Directions to “ MRS. ANGELA ROSE MARTY M.P.T” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.