Individual
MS. ANGELA ANNE BORNHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2424 N WYATT DR, SUITE 130, TUCSON, AZ 85712-6115
(520) 784-6570
(520) 784-6574
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3992
AZ
2251X0800X
Orthopedic Physical Therapist
3992
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796922
—
AZ
Enumeration date
01/02/2007
Last updated
04/15/2013
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