Individual
MRS. ANGELA NICOLE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3202 4TH ST, LONGVIEW, TX 75605-5217
(903) 753-6635
(903) 753-1114
Mailing address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1139624
TX
Other
Enumeration date
12/03/2013
Last updated
06/03/2020
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