Provider Demographics
NPI:1275652406
Name:ANEMAET, ALLAN (PT)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:
Last Name:ANEMAET
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11610 116TH ST
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3035
Mailing Address - Country:US
Mailing Address - Phone:727-391-9157
Mailing Address - Fax:
Practice Address - Street 1:1244 S PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3720
Practice Address - Country:US
Practice Address - Phone:727-939-3015
Practice Address - Fax:727-943-7013
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT19062OtherPHYSICAL THERAPIST