Provider Demographics
NPI:1295934420
Name:GARNER, MA ANGELA S (PT)
Entity type:Individual
Prefix:MS
First Name:MA ANGELA
Middle Name:S
Last Name:GARNER
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:2619 SAN ISIDRO PKWY
Mailing Address - Street 2:#501
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6570
Mailing Address - Country:US
Mailing Address - Phone:956-638-3559
Mailing Address - Fax:956-391-1707
Practice Address - Street 1:506 N MAIN STREET
Practice Address - Street 2:#501
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014
Practice Address - Country:US
Practice Address - Phone:956-712-0770
Practice Address - Fax:956-391-1707
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2014-05-14
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Provider Licenses
StateLicense IDTaxonomies
TXPT1068369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1832Medicare PIN