Provider Demographics
NPI:1922335587
Name:ANNA SAUNDERS PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ANNA SAUNDERS PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ROSEMARY
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:213-393-0198
Mailing Address - Street 1:4105 OCEAN VIEW BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1515
Mailing Address - Country:US
Mailing Address - Phone:818-957-1980
Mailing Address - Fax:818-957-1905
Practice Address - Street 1:4105 OCEAN VIEW BLVD STE A
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1515
Practice Address - Country:US
Practice Address - Phone:818-957-1980
Practice Address - Fax:818-957-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty