Provider Demographics
NPI:1669180949
Name:NAVILLE, ANN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:NAVILLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2857 CHARLESTOWN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-0006
Mailing Address - Country:US
Mailing Address - Phone:812-948-2947
Mailing Address - Fax:812-948-4164
Practice Address - Street 1:2760 JEFFERSON CENTRE WAY
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8266
Practice Address - Country:US
Practice Address - Phone:812-288-8835
Practice Address - Fax:812-288-8834
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05014877A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist