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Individual

MICHAELLA ANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3221 RYAN ST, SUITE D, LAKE CHARLES, LA 70601-8780
(337) 439-3344
(337) 439-3380
Mailing address
3221 RYAN ST, SUITE D, LAKE CHARLES, LA 70601-8780
(337) 439-3344
(337) 439-3380

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08480
LA

Other

Enumeration date
11/12/2012
Last updated
11/12/2012
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