Provider Demographics
NPI:1417077397
Name:MALSIN, ANNE HINRICHS (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:HINRICHS
Last Name:MALSIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 NEOSHO AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-6129
Mailing Address - Country:US
Mailing Address - Phone:310-398-3183
Mailing Address - Fax:310-398-3183
Practice Address - Street 1:5236 COLODNY DR
Practice Address - Street 2:SUITE 205
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2624
Practice Address - Country:US
Practice Address - Phone:818-865-8135
Practice Address - Fax:818-865-1757
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist