Hydrick, Angela Renee

Hydrick, Angela Renee is an sole proprietor health care provider with primary practice located at 4060 Golfview Dr , Villa Rica GA 30180-8030. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hydrick, Angela Renee can be contacted via phone (770) 328-0752.

Contact Information

Primary practice address
4060 Golfview Dr Villa Rica GA 30180-8030
Phone: (770) 328-0752
Fax: (770) 830-9764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 01282 Georgia

Profile Details

NPI number 1376633800
LBN Legal business name Hydrick, Angela Renee
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376633800 NPPES
Georgia MEDICAID 00675276C

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