Provider Demographics
NPI:1700689486
Name:DEL ANGEL, KATELYN MELISSA (OTD)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:MELISSA
Last Name:DEL ANGEL
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12708 28TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-9332
Mailing Address - Country:US
Mailing Address - Phone:832-744-0239
Mailing Address - Fax:
Practice Address - Street 1:1226 COUNTY ROAD 45
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-1000
Practice Address - Country:US
Practice Address - Phone:832-744-0239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123154225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist