Individual
MISS ANGELA YVONNE EUSERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9441 LBJ FREEWAY #101, SUPPLEMENTAL HEALTH CARE, DALLAS, TX 75243
(866) 575-9820
Mailing address
2351 SHIREBROOK CT, GRAND PRAIRIE, TX 75052-7815
(972) 606-4988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2030575
TX
225700000X
Massage Therapist
MT029946
TX
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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