Individual
ANGELA HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8405
Mailing address
6305 BIRCH LN APT 201, NAMPA, ID 83687-4142
(208) 473-9788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3677
ID
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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