Provider Demographics
NPI:1942669197
Name:ANGALA, SHIRLEY (PT)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:ANGALA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 MAIN ST STE 10
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5171
Mailing Address - Country:US
Mailing Address - Phone:469-443-0458
Mailing Address - Fax:469-573-6918
Practice Address - Street 1:3901 MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5171
Practice Address - Country:US
Practice Address - Phone:469-443-0458
Practice Address - Fax:469-573-6918
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1221091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist