Individual
ANTHONY ANTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,R.P.T.
Contact information
Practice address
4 ONEIDA CT, SUITE 100, CHESTER SPRINGS, PA 19425-2934
(610) 935-3500
Mailing address
4 ONEIDA CT, CHESTER SPRINGS, PA 19425-2934
(610) 469-9057
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
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