Angel Leaf Rehab And Consulting Llc | |
309 Plantation Dr, Lake Jackson, TX 77566-6142 | |
(979) 418-7165 | |
(800) 419-5153 |
Full Name | Angel Leaf Rehab And Consulting Llc |
---|---|
Type | Facility |
Speciality | Specialist |
Location | 309 Plantation Dr, Lake Jackson, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053691352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
174400000X | Specialist | (* (Not Available)) | Primary |
Provider Name | Mary Ann Harnden |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619953023 PECOS PAC ID: 0749290476 Enrollment ID: I20060426000260 |
Provider Name | Edna Lucio |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245216654 PECOS PAC ID: 8224048962 Enrollment ID: I20060426000289 |
Provider Name | Monique Hambric |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902122542 PECOS PAC ID: 8325288905 Enrollment ID: I20130702000214 |
Provider Name | Oluwatosin Victoria Olowoyeye |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528758109 PECOS PAC ID: 4789048547 Enrollment ID: I20230912002345 |
Provider Name | Fabiola Negrete |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205558137 PECOS PAC ID: 9133575434 Enrollment ID: I20231023002591 |
Provider Name | Brian C J Crane |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306132832 PECOS PAC ID: 2961855630 Enrollment ID: I20240129004619 |
Provider Name | Alec Miguel Munoz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326826066 PECOS PAC ID: 9335586478 Enrollment ID: I20240325001619 |
Mailing Address | Practice Location Address |
---|---|
Angel Leaf Rehab And Consulting Llc 337 Sheri Ln, Lake Jackson, TX 77566-3269 Ph: (281) 229-0263 | Angel Leaf Rehab And Consulting Llc 309 Plantation Dr, Lake Jackson, TX 77566-6142 Ph: (979) 418-7165 |