Angela Harper

Individual provider Active NPI Physical Therapy Assistant · Reform, AL

NPI 1629310941 · NPPES record last updated Mar 25, 2013

Key facts

NPI
1629310941
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA4768 (AL)
Practice address
515 2ND Ave NW
Reform, AL 35481-2331
Phone
(205) 375-2465
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA4768ALMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA4768 AL Yes

Addresses

Primary practice location

515 2ND Ave NW
Reform, AL 35481-2331

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Other providers in Reform, AL

All providers in Reform, AL · Physical Therapy Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.