Ian Ananthasane
Physical Therapist in Suwanee, GA. Individual provider (NPI-1).
NPI number1013822857
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1013822857
- Entity type
- Individual (NPI-1)
- Name
- Ian Ananthasane
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2026
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT018533 | GA | Yes |
Practice location
4025 Johns Creek PkwySuwanee, GA 30024-5682
Phone 404-575-4505
Mailing address
4025 Johns Creek Pkwy Ste 100Suwanee, GA 30024-5683
Phone 404-575-4505
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