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NPI Code Detail

MEDICARE: DANIELLE LOUISE ANGLE

MEDICARE: DANIELLE LOUISE ANGLE
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 Assistant595NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1595OTHERNESTATE LISCENSE

General Provider Information

NPI Number : 1043731508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE LOUISE ANGLE
Provider Business Mailing Address
First Line : 14451 BAILIE ST
Second Line :
City : WAVERLY
State : NE
Zip : 68462-1638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 FURNAS ST
Second Line :
City : ASHLAND
State : NE
Zip : 68003-1254
Country : US
Telephone Number : 402-944-7031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2017
Last Update Date : 07/05/2017

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Directions to “ DANIELLE LOUISE ANGLE ” Practice Location

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