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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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