Provider Demographics
NPI:1659650547
Name:SESSOMS, ANGELA (RRT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SESSOMS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 HOCUTT DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-7255
Mailing Address - Country:US
Mailing Address - Phone:919-963-6906
Mailing Address - Fax:919-963-6933
Practice Address - Street 1:91 HARPER AVE
Practice Address - Street 2:
Practice Address - City:FOUR OAKS
Practice Address - State:NC
Practice Address - Zip Code:27524-7948
Practice Address - Country:US
Practice Address - Phone:919-963-6906
Practice Address - Fax:919-963-6933
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-1613227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered