Provider Demographics
NPI:1518592757
Name:TALAGANIS, ANGELA (ATC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:TALAGANIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY PKWY # 9
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27268-4260
Mailing Address - Country:US
Mailing Address - Phone:330-314-7892
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY PKWY # 9
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27268-4260
Practice Address - Country:US
Practice Address - Phone:330-314-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC44072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer