Provider Demographics
NPI:1073713566
Name:SABIJON, ANNA ADENDA
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ADENDA
Last Name:SABIJON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8412 W ASHFORD LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-9005
Mailing Address - Country:US
Mailing Address - Phone:765-759-7742
Mailing Address - Fax:765-759-7742
Practice Address - Street 1:2000 S ANDREWS RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:IN
Practice Address - Zip Code:47396-6812
Practice Address - Country:US
Practice Address - Phone:765-759-7740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2008-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007801A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist