Individual
MRS. ANGELA ELIZABETH SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5605 REAGAN RD, COLLEYVILLE, TX 76034-3406
(817) 721-6236
Mailing address
5605 REAGAN RD, COLLEYVILLE, TX 76034-3406
(817) 721-6236
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105698
TX
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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