Individual provider · NPI-1

Dr. Michael Anastasia, DPT

Physical Therapist · Mission Viejo, CA

NPI number1770193229
StatusActive
Last updated in NPPESAug 8, 2020

Details

NPI
1770193229
Entity type
Individual (NPI-1)
Name
Dr. Michael Anastasia
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2020
Certification date
Aug 8, 2020
Last updated
Aug 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist298053CAYes

Practice location

26471 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-6378

Phone 949-916-2601

Mailing address

26471 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-6378

Phone 949-916-2601

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