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NPI Code Detail

MEDICARE: ANNA YEMIZ MITSUNAGA PT DPT

MEDICARE: ANNA YEMIZ MITSUNAGA PT DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251G0304XGeriatric Physical Therapist29893CA
2208100000XPhysical Medicine & Rehabilitation Physician29893CA
32251X0800XOrthopedic Physical Therapist29893CA
4225100000XPhysical Therapist29893CA

General Provider Information

NPI Number : 1851506547
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA YEMIZ MITSUNAGA PT DPT
Provider Business Mailing Address
First Line : 220 CONCOURSE BLVD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-8210
Country : US
Telephone Number : 844-527-7369
Fax Number : 844-847-4943
Provider Business Practice Location Address
First Line : 220 CONCOURSE BLVD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-8210
Country : US
Telephone Number : 844-527-7369
Fax Number : 844-847-4943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 06/09/2026

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Directions to “ ANNA YEMIZ MITSUNAGA PT DPT” Practice Location

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