Angie Physical Medicine and Rehabilitation Center

Organization Active NPI Specialist · Angie, LA

NPI 1003090366 · NPPES record last updated Dec 21, 2007

Key facts

NPI
1003090366
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
ANGIE PHYSICAL MEDICINE AND REHABILITATION CENTER
Practice address
22653 Highway 21
Angie, LA 70426
Phone
(713) 894-3576
Fax
(713) 928-3488
NPI assigned
Dec 21, 2007
Organization subpart
No

Authorized official

Name
Otis Lee Wells
Title
General Manager
Phone
(713) 894-3576

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X Yes

Addresses

Primary practice location

22653 Highway 21
Angie, LA 70426

Mailing address

22653 Highway 21
Angie, LA 70426
Phone (713) 894-3576

Other providers in Angie, LA

All providers in Angie, LA · Specialist in Louisiana

Sources for this page

Verify at the official NPI Registry.