Individual
MRS. STEPHANIE ANN ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1615 11TH ST, FLORESVILLE, TX 78114-2403
(830) 216-7090
Mailing address
10750 ELMENDORF-LAVERNIA RD., SAN ANTONIO, TX 78223
(210) 218-3406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208738
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
09/04/2018
Last updated
09/04/2018
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