Individual
ANGELA WEBB WALLACE
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) 569-4300
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 569-4039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
108136
TX
Other
Enumeration date
03/20/2010
Last updated
01/27/2026
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