Individual
ANGELA OUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
598 INDIAN TRAIL RD S STE 141, INDIAN TRAIL, NC 28079-8689
(704) 975-7008
(704) 821-0570
Mailing address
4741 SUGAR AND WINE ROAD, MONROE, NC 28110
(704) 264-9770
(704) 821-0570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2350
NC
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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