Individual
DR. ANNA REDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
777 E MAIN ST STE 108, BOZEMAN, MT 59715-3809
(406) 589-6083
Mailing address
7 MINERAL AVE, BOZEMAN, MT 59718-6249
(704) 221-6492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34594
FL
2251P0200X
Pediatric Physical Therapist
PT.9281
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT.9281
SOUTH CAROLINA PT LICENSE
SC
01
—
PT34594
PT LICENSE
FL
Enumeration date
08/22/2018
Last updated
11/22/2024
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