Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2163032 | TX |
NPI | 1013681808 |
---|---|
Provider Name | Angelica Marie Saunders |
First Address | New Braunfels, TX 78132-5331 |
Second Address | New Braunfels, TX 78130-4093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2021 |
Last Update Date | 04/08/2021 |