Individual
MRS. ANGELA ELAINE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. PHYSICAL THERAP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2529
OK
2251P0200X
Pediatric Physical Therapist
2529
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038480A
—
OK
05
—
200038480B
—
OK
Enumeration date
10/03/2006
Last updated
07/22/2020
Update your record
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