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1104206267
MATTHEW ANGE
FORT WORTH, TX
NPI
1104206267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 115325)
Enumeration Date
2015-06-04
Last Update Date
2021-09-10
Business Address
MATTHEW ANGE OTR
1300 W ROSEDALE ST STE B
FORT WORTH, TX 76104-2824
Phone number: 817-885-7951
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Mailing Address
MATTHEW ANGE OTR
1101 W ROSEDALE ST
FORT WORTH, TX 76104-4425
Phone number:
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