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NPI Code Detail

MEDICARE: HANNAH LOUISE ANGUISH

MEDICARE:   HANNAH LOUISE ANGUISH
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
1225100000XPhysical TherapistP23855NC
2225100000XPhysical TherapistCP042314TSC

General Provider Information

NPI Number : 1003630450
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH LOUISE ANGUISH
Provider Business Mailing Address
First Line : PO BOX 412066
Second Line :
City : BOSTON
State : MA
Zip : 02241-2066
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 439 CHANNEL RD STE 102
Second Line :
City : LAKE WYLIE
State : SC
Zip : 29710-6101
Country : US
Telephone Number : 803-746-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2024
Last Update Date : 01/22/2026

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1003236308 — DR. THOMAS CALVIN MEALING DPT
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Directions to “ HANNAH LOUISE ANGUISH ” Practice Location

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