Provider Demographics
NPI:1356569768
Name:SANDERS, ANNE BAGGETT (PT)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:BAGGETT
Last Name:SANDERS
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 1:3541 DESAIX BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2710
Mailing Address - Country:US
Mailing Address - Phone:985-630-3212
Mailing Address - Fax:
Practice Address - Street 1:1712 STUMPF BLVD
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-3923
Practice Address - Country:US
Practice Address - Phone:504-365-1020
Practice Address - Fax:504-365-1080
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA005552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5C353Medicare ID - Type UnspecifiedPHYSICAL THERAPY OUT PT,
LA4B313Medicare ID - Type UnspecifiedPHYSICAL THERAPY OUT PT,