ANGELA PUCHALLA, LAT, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1114917580
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 549-039 (WI) |
Frequently Asked Questions
NPI 1114917580 is the National Provider Identifier for ANGELA PUCHALLA, LAT, ATC, a Specialist/Technologist - Athletic Trainer provider located in Green Bay, WI. This NPI was enumerated on October 26, 2005.
ANGELA PUCHALLA, LAT, ATC practices at 1630 COMMANCHE AVE, Green Bay, WI 54313.
Quick Facts
- NPI
- 1114917580
- Type
- Individual
- Enumerated
- Oct 26, 2005
- Last Updated
- Jul 8, 2007
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