Organization
ANGIE PHYSICAL MEDICINE AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS LEE WELLS (GENERAL MANAGER)
(713) 894-3576
Entity
Organization
Contact information
Practice address
22653 HIGHWAY 21, ANGIE, LA 70426
(713) 894-3576
(713) 928-3488
Mailing address
22653 HIGHWAY 21, ANGIE, LA 70426
(713) 894-3576
(713) 928-3488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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