Provider Demographics
NPI:1174844070
Name:SGHERZA, ANTHONY LAWRENCE (PT, ATC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:LAWRENCE
Last Name:SGHERZA
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:VT
Mailing Address - Zip Code:05647-9648
Mailing Address - Country:US
Mailing Address - Phone:802-563-3169
Mailing Address - Fax:
Practice Address - Street 1:31 MIDDLE STREET
Practice Address - Street 2:NORTHERN PHYSICAL THERAPY, PC
Practice Address - City:LYNDONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05851
Practice Address - Country:US
Practice Address - Phone:802-626-4224
Practice Address - Fax:802-626-5042
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist