Provider Demographics
NPI:1740457480
Name:ANNE HOWARD PHYSICAL THERAPY, INC., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ANNE HOWARD PHYSICAL THERAPY, INC., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:831-336-2801
Mailing Address - Street 1:PO BOX 2772
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95001-2772
Mailing Address - Country:US
Mailing Address - Phone:831-247-5584
Mailing Address - Fax:831-336-4255
Practice Address - Street 1:7539 SOQUEL DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3815
Practice Address - Country:US
Practice Address - Phone:831-247-5584
Practice Address - Fax:831-336-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01828ZOtherMC GROUP NUMBER