Provider Demographics
NPI:1396032868
Name:DOWEY, ANNA JANE (MSOT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:JANE
Last Name:DOWEY
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:JANE
Other - Last Name:SEBALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOT
Mailing Address - Street 1:24630 WASHINGTON AVE
Mailing Address - Street 2:STE. 200
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6177
Mailing Address - Country:US
Mailing Address - Phone:951-696-9353
Mailing Address - Fax:951-973-7216
Practice Address - Street 1:31764 CASINO DR
Practice Address - Street 2:STE. 106
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4571
Practice Address - Country:US
Practice Address - Phone:951-471-3300
Practice Address - Fax:951-471-3301
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 11954225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0281296OtherDEPT. OF LABOR AND INDUSTRIES
CAFF436WMedicare PIN
WA0281296OtherDEPT. OF LABOR AND INDUSTRIES
CAFF436XMedicare PIN