Provider Demographics
NPI:1174854376
Name:HA, ANNE J (RPT)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:J
Last Name:HA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
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Mailing Address - Street 1:14097 TIGER LILY CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3227
Mailing Address - Country:US
Mailing Address - Phone:213-215-3371
Mailing Address - Fax:
Practice Address - Street 1:2727 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2637
Practice Address - Country:US
Practice Address - Phone:213-382-0088
Practice Address - Fax:213-380-2038
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA29011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist