Individual
MRS. ANGELA RENEE HYDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4060 GOLFVIEW DR, VILLA RICA, GA 30180-8030
(770) 328-0752
(770) 830-9764
Mailing address
4060 GOLFVIEW DRIVE, VILLA RICA, GA 30180
(770) 328-0752
(770) 830-9764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00675276C
—
GA
Enumeration date
10/13/2006
Last updated
07/08/2007
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