Provider Demographics
NPI:1699821785
Name:CASNER, MY-ANH CONG-HUYEN (PT)
Entity Type:Individual
Prefix:MS
First Name:MY-ANH
Middle Name:CONG-HUYEN
Last Name:CASNER
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 1:5437 E LANAI ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-3555
Mailing Address - Country:US
Mailing Address - Phone:562-420-2990
Mailing Address - Fax:
Practice Address - Street 1:3311 E WILLOW ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2310
Practice Address - Country:US
Practice Address - Phone:562-424-4976
Practice Address - Fax:562-424-5960
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19325225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist