Provider Demographics
NPI:1972750438
Name:DOBINSKY, ANGELA FOX (MPT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:FOX
Last Name:DOBINSKY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:L
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:12411 HYMEADOW DR
Mailing Address - Street 2:BUILDING 3, SUITE 3B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1874
Mailing Address - Country:US
Mailing Address - Phone:512-335-9300
Mailing Address - Fax:512-335-9301
Practice Address - Street 1:12411 HYMEADOW DR
Practice Address - Street 2:BUILDING 3, SUITE 3B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1874
Practice Address - Country:US
Practice Address - Phone:512-335-9300
Practice Address - Fax:512-335-9301
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1189115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAW815ZMedicare PIN