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NPI Code Detail

MEDICARE: ANGELA FLEMING PTA

MEDICARE:   ANGELA  FLEMING  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 Assistant2116943TX

General Provider Information

NPI Number : 1508347139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA FLEMING PTA
Provider Business Mailing Address
First Line : 7510 HOLLY HILL DR APT 157
Second Line :
City : DALLAS
State : TX
Zip : 75231-4519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2450 BICKERS ST
Second Line :
City : DALLAS
State : TX
Zip : 75212-1507
Country : US
Telephone Number : 214-879-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ ANGELA FLEMING PTA” Practice Location

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