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NPI Code Detail

MEDICARE: ANGELA WALKER PTA

MEDICARE:   ANGELA  WALKER  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 Assistant2072119TX

General Provider Information

NPI Number : 1053824326
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WALKER PTA
Provider Business Mailing Address
First Line : 114 MAYHAVEN CT
Second Line :
City : MONTGOMERY
State : TX
Zip : 77316-1688
Country : US
Telephone Number : 713-899-4197
Fax Number :
Provider Business Practice Location Address
First Line : 900 THREADNEEDLE ST STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2913
Country : US
Telephone Number : 713-799-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 12/14/2025

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Directions to “ ANGELA WALKER PTA” Practice Location

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