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Individual

MRS. ANGELA MARIE FRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, OTC

Contact information

Practice address
1130 BEACHVIEW ST, DALLAS, TX 75218-3700
(469) 341-5676
Mailing address
1130 BEACHVIEW STREET, DALLAS, TX 75218
(469) 341-5576

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1022
NC

Other

Enumeration date
06/27/2012
Last updated
11/08/2013
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