Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 16789 | MA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 2305206836 | VA |
NPI | 1023124062 |
---|---|
Provider Name | Anne Styers Viser |
First Address | Arlington, VA 22206-1503 |
Second Address | Boston, MA 02114-2743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 26/05/2017 |