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NPI Code Detail

MEDICARE: MS. ANITA GWYNNE OAKES

MEDICARE: MS. ANITA GWYNNE OAKES
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 Therapist009018NY

General Provider Information

NPI Number : 1467688366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANITA GWYNNE OAKES
Provider Business Mailing Address
First Line : 44 WESTSIDE RD
Second Line :
City : OWLS HEAD
State : NY
Zip : 12969-1701
Country : US
Telephone Number : 518-569-3118
Fax Number :
Provider Business Practice Location Address
First Line : 355 W MAIN ST
Second Line :
City : MALONE
State : NY
Zip : 12953-1827
Country : US
Telephone Number : 518-569-3118
Fax Number : 518-483-9378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2009
Last Update Date : 06/05/2009

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Directions to “ MS. ANITA GWYNNE OAKES ” Practice Location

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