Provider Demographics
NPI:1760250799
Name:CINEA, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CINEA
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 1:28 LORENT DRIVE
Mailing Address - Street 2:PO BOX 49
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03284-0049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28 LORENT DRIVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NH
Practice Address - Zip Code:03284
Practice Address - Country:US
Practice Address - Phone:860-682-4549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300740225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist