Provider Demographics
NPI:1841783875
Name:TOTHEROW, ANNA (PT DPT CBS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:TOTHEROW
Suffix:
Gender:F
Credentials:PT DPT CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 NIMBLEWILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-3798
Mailing Address - Country:US
Mailing Address - Phone:770-910-2259
Mailing Address - Fax:
Practice Address - Street 1:3115 NIMBLEWILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-3798
Practice Address - Country:US
Practice Address - Phone:678-208-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
GAPT013412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN