Individual
ANGELA B WALDERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3840 HULEN ST STE 100, FORT WORTH, TX 76107-7269
(817) 360-0526
Mailing address
3840 HULEN ST, 603, FORT WORTH, TX 76107-7277
(817) 360-0526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-7484001
—
TX
05
—
157484004
—
TX
01
—
8TAB75
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/18/2007
Last updated
01/30/2026
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