Healthcare Provider Details

I. General information

NPI: 1699289371
Provider Name (Legal Business Name): ANAHITA MARIA SAADAT DPT, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 11/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 CARMALT ST APT 2
DICKSON CITY PA
18519-1201
US

IV. Provider business mailing address

1065 CARMALT ST APT 2
DICKSON CITY PA
18519-1201
US

V. Phone/Fax

Practice location:
  • Phone: 862-219-3078
  • Fax:
Mailing address:
  • Phone: 862-219-3078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT024498
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT024498
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: