Healthcare Provider Details

I. General information

NPI: 1649420530
Provider Name (Legal Business Name): ANGELA SAVAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 INTERNATIONAL PKWY
HEATHROW FL
32746-5303
US

IV. Provider business mailing address

9425 KROETZ DR
SHREVEPORT LA
71118-4042
US

V. Phone/Fax

Practice location:
  • Phone: 800-798-6035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2068190
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: