Individual
ANGELA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4105 TERAVISTA CLUB DR, ROUND ROCK, TX 78665-1525
(512) 310-3700
Mailing address
105 WOODLAND RD, GEORGETOWN, TX 78628-3036
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2088503
TX
Other
Enumeration date
08/09/2018
Last updated
09/10/2018
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