Holder, Angela Elaine

Holder, Angela Elaine is an individual health care provider with primary practice located at 1618 Ne 31St St , Lawton OK 73507-3432. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Holder, Angela Elaine can be contacted via phone (405) 747-4358.

Contact Information

Primary practice address
1618 Ne 31St St Lawton OK 73507-3432
Phone: (405) 747-4358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2529 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2529 Oklahoma

Profile Details

NPI number 1053405639
LBN Legal business name Holder, Angela Elaine
Credentials P.T. PHYSICAL THERAP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053405639 NPPES
Oklahoma MEDICAID 200038480B
Oklahoma MEDICAID 200038480A

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