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Individual

ANGELA J SUMRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 4823
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
NPI GROUP
AL
01
515-39070
BCBS
AL
05
890019420
AL
01
DB9027
RAILROAD MEDICARE FROUP
AL
Enumeration date
10/13/2006
Last updated
02/13/2014
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