Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 05009993A | IN |
N | 2251G0304X | Physical Therapist - Geriatrics | 05009993A | IN |
N | 2251N0400X | Physical Therapist - Neurology | 05009993A | IN |
NPI | 1568765188 |
---|---|
Provider Name | Anshu Kumar Saxena |
First Address | Michigan City, IN 46360-7602 |
Second Address | Michigan City, IN 46360-7424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2010 |
Last Update Date | 12/01/2012 |