Provider Demographics
NPI:1295370203
Name:VO, AN M (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:AN
Middle Name:M
Last Name:VO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:MR
Other - First Name:ANBELL
Other - Middle Name:
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:825 JONES ROAD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991
Mailing Address - Country:US
Mailing Address - Phone:530-673-0567
Mailing Address - Fax:530-673-3026
Practice Address - Street 1:825 JONES ROAD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991
Practice Address - Country:US
Practice Address - Phone:530-673-0567
Practice Address - Fax:530-673-3026
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT297488225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist