Provider Demographics
NPI:1508274770
Name:EVERETT, ANNEMARIE (DPT)
Entity Type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:EVERETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2365 OFARRELL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3327
Mailing Address - Country:US
Mailing Address - Phone:650-823-2925
Mailing Address - Fax:
Practice Address - Street 1:121 SPEAR ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1581
Practice Address - Country:US
Practice Address - Phone:888-201-1937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist