Provider Demographics
NPI:1831291582
Name:SINES, ANNABELLE STEWART (RPT)
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:STEWART
Last Name:SINES
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 1:2004 NE 50TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34479-7154
Mailing Address - Country:US
Mailing Address - Phone:352-629-2239
Mailing Address - Fax:
Practice Address - Street 1:5980 SW 1ST LN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-1880
Practice Address - Country:US
Practice Address - Phone:352-237-5046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8907587Medicaid