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ANGELA D HANNULA DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1205068517
Individual Registrant: ANGELA D HANNULA DPT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1378 MAIN ST CARBONDALE, CO 81623-1840 US
Tel: 970-963-6600 Fax: 970-963-4288
Tel: 970-963-6600 Fax: 970-963-4288
Contact information for business:
1378 MAIN ST CARBONDALE, CO 81623-1840 US
Tel: 970-963-6600 Fax: 970-963-4288
Tel: 970-963-6600 Fax: 970-963-4288
Registration Information:
NPI: 1205068517
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CO | PTL10444 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNITEDE HEALTH | 775826 | CO | 01 |
| CAQH | 12249751 | CO | 01 |
