Individual
MRS. ANGELA LASHELL WOOTEN-HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3160 GUS THOMASSON RD, MESQUITE, TX 75150-4048
(469) 329-4002
Mailing address
503 PERSIMMON TRL, FORNEY, TX 75126-0058
(318) 680-8185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2087630
TX
Other
Enumeration date
08/16/2018
Last updated
02/06/2023
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