Basic Information
| Provider Information | |||||||||
| NPI: | 1255677936 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DABROWSKI | ||||||||
| FirstName: | ANNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 GARDEN RD | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939405313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8313751885 | ||||||||
| FaxNumber: | 8313757436 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 GARDEN RD | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939405313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8313751885 | ||||||||
| FaxNumber: | 8313757436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2012 | ||||||||
| LastUpdateDate: | 01/23/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 031994 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | PT 38603 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | PENDING | 01 | CA | MEDICARE PTAN | OTHER |