Individual
ANGELA M LEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 826-2121
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1351100
TX
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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