Individual
ANNE C SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4435 EASTGATE MALL, #120, SAN DIEGO, CA 92121-1982
(858) 587-8669
(858) 587-8675
Mailing address
317 N EL CAMINO REAL STE 210, ENCINITAS, CA 92024-2813
(760) 634-0248
(760) 634-1782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB225993
MEDICARE PTAN
CA
Enumeration date
10/22/2014
Last updated
10/27/2023
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