Individual
ANTHONY ANTICH
Active
Individual
ANTHONY ANTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,R.P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT001384E
PA
225100000X
Physical Therapist
Primary
PT-001384-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000501520
BLUE SHIELD
PA
01
—
0108954000
BLUE CROSS
PA
01
—
55526
AETNA
PA
01
—
650004929
RAILROAD MEDICARE
PA
Enumeration date
05/26/2006
Last updated
07/16/2015
Update your record
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