Provider Demographics
NPI:1043448772
Name:DOSTER, ANITA GAIL (RRT)
Entity Type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:GAIL
Last Name:DOSTER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 WOLF POND RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-8997
Mailing Address - Country:US
Mailing Address - Phone:704-219-2508
Mailing Address - Fax:
Practice Address - Street 1:4115 WOLF POND RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-8997
Practice Address - Country:US
Practice Address - Phone:704-219-2508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-729227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered