Anderson, Charlene Kantack

Anderson, Charlene Kantack is an individual health care provider with primary practice located at 238 Dickenson Ave , Newbury Park CA 91320-4326. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Anderson, Charlene Kantack can be contacted via phone (805) 551-5420.

Contact Information

Primary practice address
238 Dickenson Ave Newbury Park CA 91320-4326
Phone: (805) 551-5420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT16045 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1003344003
LBN Legal business name Anderson, Charlene Kantack
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2017
Last updated May 29th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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