Healthcare Provider Details

I. General information

NPI: 1952136541
Provider Name (Legal Business Name): ANNA MARIA STRICKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11825 MAJOR ST STE 107
CULVER CITY CA
90230-6356
US

IV. Provider business mailing address

1759 N EDGEMONT ST APT 6
LOS ANGELES CA
90027-4144
US

V. Phone/Fax

Practice location:
  • Phone: 310-915-6100
  • Fax:
Mailing address:
  • Phone: 415-300-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number306760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: