Healthcare Provider Details

I. General information

NPI: 1881919215
Provider Name (Legal Business Name): ANTHONY S SANCHEZ PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3666 KEARNY VILLA RD SUITE 225
SAN DIEGO CA
92123-1951
US

IV. Provider business mailing address

3666 KEARNY VILLA RD SUITE 225
SAN DIEGO CA
92123-1951
US

V. Phone/Fax

Practice location:
  • Phone: 858-505-5480
  • Fax:
Mailing address:
  • Phone: 858-505-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number22996
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: