Modiba, Khutso Annah

Modiba, Khutso Annah is an individual health care provider with primary practice located at 2400 Kingston Ct , York PA 17402-3650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Modiba, Khutso Annah can be contacted via phone (813) 776-2504.

Contact Information

Primary practice address
2400 Kingston Ct York PA 17402-3650
Phone: (813) 776-2504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 0C009705 Pennsylvania

Profile Details

NPI number 1366289209
LBN Legal business name Modiba, Khutso Annah
Credentials BACHELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2024
Last updated Jul 9th, 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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