Doctor Name: | PAUL ANAMA |
NPI Number: | 1114382264 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 959 |
Business Practice Address: | 1101 Johnson Ave Rm 138 Myrtle Beach, SC - 295771893 |
Business Phone Number: | 8434770177 |
Business Fax Number: | |
Mailing Address: | 1101 Johnson Ave, Rm 138 MYRTLE BEACH |
State: | SC |
Postal Code: | 295771893 |
Phone Number: | 8434770177 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |