MEDICARE: SONALI JANGLE

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
1	225100000X	Physical Therapist	1268536	TX

General Provider Information

NPI Number	:	1023561768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONALI JANGLE

Provider Business Mailing Address
First Line	:	7156 S DAIRY ASHFORD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5115
Country	:	US
Telephone Number	:	713-478-8894
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 S LOOP W STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3826
Country	:	US
Telephone Number	:	713-478-8894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2016
Last Update Date	:	07/29/2016

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Directions to “ SONALI JANGLE ” Practice Location

Language	Start Address	Practice Location

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