Provider Demographics
NPI:1639323306
Name:RECABE, ANNE YULO (RPT)
Entity Type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:YULO
Last Name:RECABE
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 ULMERTON RD
Mailing Address - Street 2:APT 121
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4510
Mailing Address - Country:US
Mailing Address - Phone:727-482-0577
Mailing Address - Fax:
Practice Address - Street 1:9393 PARK BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-4140
Practice Address - Country:US
Practice Address - Phone:727-391-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18466225100000X
FLPT25103225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist