Individual
ANGELA LYNN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
1202 LAKEWAY DR STE 6A, LAKEWAY, TX 78734-4481
(512) 261-3584
Mailing address
1202 LAKEWAY DR STE 6A, LAKEWAY, TX 78734-4481
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1176327
TX
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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