Charlene Kantack Anderson, PHYSICAL THERAPIST

NPI #1003344003 in Newbury Park, California

Provider Information

NPI Number: 1003344003
Entity Type: Individual
Name: Charlene Kantack Anderson, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jun 2, 2017
Last Updated: May 29, 2024

Practice Location

Address: 238 DICKENSON AVE
City: Newbury Park
State: California
ZIP Code: 91320-4326
Phone: (805) 551-5420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Physical Therapist	225100000X	Primary

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