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ANGELA D HANNULA DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1205068517

Individual Registrant:
 ANGELA D HANNULA DPT
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

Contact information for business:
1378 MAIN ST  CARBONDALE, CO 81623-1840 US
Tel: 970-963-6600  Fax: 970-963-4288

Registration Information:
NPI: 1205068517
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
COPTL10444

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UNITEDE HEALTH775826CO01
CAQH12249751CO01




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