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NPI Code Detail

MEDICARE: ANNA SPIX PT

MEDICARE:   ANNA  SPIX  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 Therapist42414CA

General Provider Information

NPI Number : 1861871089
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA SPIX PT
Provider Business Mailing Address
First Line : 1003 RIVER ST STE C
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-1754
Country : US
Telephone Number : 831-457-1800
Fax Number :
Provider Business Practice Location Address
First Line : 1003 RIVER ST STE C
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-1754
Country : US
Telephone Number : 831-457-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2015
Last Update Date : 05/20/2015

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Directions to “ ANNA SPIX PT” Practice Location

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