Provider Demographics
NPI:1043278146
Name:HALL, ANNE AKEMI (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:AKEMI
Last Name:HALL
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 1:5497 COPELAND CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124
Mailing Address - Country:US
Mailing Address - Phone:408-356-8700
Mailing Address - Fax:
Practice Address - Street 1:21269 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE #618
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:408-366-1735
Practice Address - Fax:408-366-1641
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA22788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist