Individual
ANGELE IGLEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 MESQUITE PASS, CONVERSE, TX 78109
(210) 650-0551
Mailing address
7700 MESQUITE PASS, CONVERSE, TX 78109-2461
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212150
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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