=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922335587
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANNA SAUNDERS PHYSICAL THERAPY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2009
-----------------------------------------------------
Last Update Date | 11/03/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4105 OCEAN VIEW BLVD STE A
-----------------------------------------------------
City | MONTROSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91020-1515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-957-1980
-----------------------------------------------------
Fax | 818-957-1905
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4105 OCEAN VIEW BLVD STE A
-----------------------------------------------------
City | MONTROSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91020-1515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-957-1980
-----------------------------------------------------
Fax | 818-957-1905
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR OF PHYSICAL THERAPY
-----------------------------------------------------
Name | ANNA ROSEMARY SAUNDERS
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 213-393-0198
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT33032
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------