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Individual

MISS ANGELA M PEPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
5745 GOLDEN OAKS DR, TYLER, TX 75703-6211
(903) 617-3953
Mailing address
2717 ROLLINGWOOD DR, TYLER, TX 75701-6007
(903) 617-3953

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
475619
TX

Other

Enumeration date
12/23/2024
Last updated
02/06/2025
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