Healthcare Provider Details

I. General information

NPI: 1740457480
Provider Name (Legal Business Name): ANNE HOWARD PHYSICAL THERAPY, INC., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7539 SOQUEL DR
APTOS CA
95003-3815
US

IV. Provider business mailing address

PO BOX 2772
APTOS CA
95001-2772
US

V. Phone/Fax

Practice location:
  • Phone: 831-247-5584
  • Fax: 831-336-4255
Mailing address:
  • Phone: 831-247-5584
  • Fax: 831-336-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNE B HOWARD
Title or Position: PRESIDENT
Credential: MPT
Phone: 831-336-2801