Provider Demographics
NPI:1205891595
Name:RICHARDS, ANGELA R (PT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12200 ANNAPOLIS RD
Mailing Address - Street 2:STE 119
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9182
Mailing Address - Country:US
Mailing Address - Phone:301-934-5336
Mailing Address - Fax:301-934-0498
Practice Address - Street 1:10665 STANHAVEN PL
Practice Address - Street 2:SUITE 103
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3055
Practice Address - Country:US
Practice Address - Phone:301-645-6680
Practice Address - Fax:301-645-5363
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2021-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD15244225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist