Provider Demographics
NPI:1053622332
Name:FORESTER, ANGELA ARNOLD (DPT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:ARNOLD
Last Name:FORESTER
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:2580 JACKSON AVE W
Mailing Address - Street 2:STE 38
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5489
Mailing Address - Country:US
Mailing Address - Phone:662-232-8949
Mailing Address - Fax:662-232-8950
Practice Address - Street 1:2580 JACKSON AVE W
Practice Address - Street 2:STE 38
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5489
Practice Address - Country:US
Practice Address - Phone:662-232-8949
Practice Address - Fax:662-232-8950
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist