Provider Demographics
NPI:1477758175
Name:SANTASIER, ANITA MARIE (PT, PHD, OCS)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:MARIE
Last Name:SANTASIER
Suffix:
Gender:F
Credentials:PT, PHD, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 LEBRUN AVE
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-4222
Mailing Address - Country:US
Mailing Address - Phone:631-264-2771
Mailing Address - Fax:631-444-6305
Practice Address - Street 1:52 LEBRUN AVE
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-4222
Practice Address - Country:US
Practice Address - Phone:631-264-2771
Practice Address - Fax:631-444-6305
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist