| NPI | 1255511036 |
|---|---|
| Other Name | SAM T ANAYA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-002414) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 2414) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2019-10-23 |