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NPI Code Detail

MEDICARE: ANNE KATZ PT

MEDICARE:   ANNE  KATZ  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist14885CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 14885OTHERCAPT LICENCE #

General Provider Information

NPI Number : 1215974324
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE KATZ PT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number : 630-759-9510
Provider Business Practice Location Address
First Line : 11260 WILBUR AVE
Second Line : #101
City : NORTHRIDGE
State : CA
Zip : 91326-2449
Country : US
Telephone Number : 818-832-5656
Fax Number : 818-832-5654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 06/23/2016

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Directions to “ ANNE KATZ PT” Practice Location

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