Provider Demographics
NPI:1134903016
Name:DRANGLE, EDWARD LEON
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:LEON
Last Name:DRANGLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 PEBBLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2825
Mailing Address - Country:US
Mailing Address - Phone:501-352-3884
Mailing Address - Fax:
Practice Address - Street 1:10700 N RODNEY PARHAM RD STE C4
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4159
Practice Address - Country:US
Practice Address - Phone:501-225-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist