Angie Physical Medicine And Rehabilitation Center

NPI 1003090366 - Specialist - 174400000X

NPI Details
NPI 1003090366
Enumeration Date 12/21/2007
Last Updated 12/21/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name OTIS LEE OTIS
Position GENERAL MANAGER
Phone (713) 894-3576
Fax (713) 928-3488
Practice Location
22653 HIGHWAY 21
ANGIE LA, 70426, US
Phone (713) 894-3576
Fax (713) 928-3488
Business Location
22653 HIGHWAY 21
ANGIE LA, 70426, US
Phone (713) 894-3576
Fax (713) 928-3488
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Angie Physical Medicine And Rehabilitation Center NPI is 1003090366, taxonomy code is 174400000X Angie Physical Medicine And Rehabilitation Center physically located at 22653 Highway 21, Angie LA, 70426. NPI Number 1033115704 has the healthcare provider type.

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1003090366 NPI number is provided on an as is basis without warranty of any kind. 1003090366 is maintained by the National Plan & Provider Enumeration System. The contents of Angie Physical Medicine And Rehabilitation Center are for informational purposes only.