Koulax, Angela

Koulax, Angela is an individual health care provider with primary practice located at 319A Southbridge St , Auburn MA 01501-2598. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Koulax, Angela can be contacted via phone (508) 832-2628.

Contact Information

Primary practice address
319A Southbridge St Auburn MA 01501-2598
Phone: (508) 832-2628
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15702 Massachusetts

Profile Details

NPI number 1295707271
LBN Legal business name Koulax, Angela
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1295707271 NPPES
Massachusetts Other 469807 TUFTS
Massachusetts Other Y68023 TUFTS
Massachusetts Other 57018 TUFTS
Massachusetts MEDICAID 0398632 TUFTS

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