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NPI Code Detail

MEDICARE: ANGELA ANTONIA FERRELL PTA

MEDICARE: ANGELA ANTONIA FERRELL PTA
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
1225200000XPhysical Therapy AssistantA-1010NV

General Provider Information

NPI Number : 1184131757
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ANTONIA FERRELL PTA
Provider Business Mailing Address
First Line : 3870 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4412
Country : US
Telephone Number : 702-396-7100
Fax Number :
Provider Business Practice Location Address
First Line : 3870 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4412
Country : US
Telephone Number : 702-396-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 01/04/2018

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Directions to “ ANGELA ANTONIA FERRELL PTA” Practice Location

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