Provider Demographics
NPI:1114390317
Name:LIMPINGCO, ANNA KRISTINA
Entity Type:Individual
Prefix:
First Name:ANNA KRISTINA
Middle Name:
Last Name:LIMPINGCO
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 1:1436 NOCOSEKA TRL
Mailing Address - Street 2:APT F1
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-6719
Mailing Address - Country:US
Mailing Address - Phone:256-405-6176
Mailing Address - Fax:
Practice Address - Street 1:1328 GREENBRIER DEAR RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-6702
Practice Address - Country:US
Practice Address - Phone:256-835-7101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3710225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist