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Individual

ANGELA J RICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1515 W 35TH ST, BLDG E, AUSTIN, TX 78703-1434
(512) 302-5551
(512) 302-5553
Mailing address
1515 W 35TH ST, BLDG E, AUSTIN, TX 78703-1434
(512) 302-5551
(512) 302-5553

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1093078
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
659516
BCBS PROVIDER NUMBER
TX
Enumeration date
08/11/2006
Last updated
11/29/2010
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