Individual
ANGELA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 RED OAK LN, INGRAM, TX 78025-3618
(512) 496-8445
Mailing address
322 RED OAK LN, INGRAM, TX 78025
(512) 496-8445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-9778
TX
225X00000X
Occupational Therapist
Primary
112329
TX
Other
Enumeration date
11/09/2017
Last updated
12/17/2020
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