Provider Demographics
NPI:1831109115
Name:ANDERSON, ANNE ROTHSTEIN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ROTHSTEIN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SPANISH OAK CIR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1502
Mailing Address - Country:US
Mailing Address - Phone:530-570-1985
Mailing Address - Fax:
Practice Address - Street 1:572 RIO LINDO AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1851
Practice Address - Country:US
Practice Address - Phone:530-570-1985
Practice Address - Fax:530-899-0366
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT1148225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31307ZMedicare PIN