Individual
ANGELA KORULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
(713) 779-0204
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1277707
TX
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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