Anna Adarna

Individual provider Active NPI Physical Therapy Assistant · Reseda, CA

NPI 1265089700 · NPPES record last updated Aug 20, 2019

Key facts

NPI
1265089700
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
49808 (CA)
Practice address
7120 Corbin Ave
Reseda, CA 91335-3618
Phone
(818) 881-4540
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
49808CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 49808 CA Yes

Addresses

Primary practice location

7120 Corbin Ave
Reseda, CA 91335-3618

Mailing address

20135 Keswick St Apt 305
Winnetka, CA 91306-4417

Other providers in Reseda, CA

All providers in Reseda, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.