Provider Demographics
NPI:1578596664
Name:HUSFELT, ANNA M
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:HUSFELT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 S STATE ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6932
Mailing Address - Country:US
Mailing Address - Phone:302-423-0236
Mailing Address - Fax:
Practice Address - Street 1:1255 S STATE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6932
Practice Address - Country:US
Practice Address - Phone:302-423-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ2-0000444225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant