MEDICARE: ANNE SABLOVE PHYSICAL THERAPIST

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
1	225100000X	Physical Therapist	PT 14625	CA

General Provider Information

NPI Number	:	1730235714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE SABLOVE PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	79 MIRABEL AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4614
Country	:	US
Telephone Number	:	415-282-2013
Fax Number	:	415-285-0113

Provider Business Practice Location Address
First Line	:	2565 3RD ST
Second Line	:	SUITE 309
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-3140
Country	:	US
Telephone Number	:	415-833-2560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/03/2012

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