Individual
LEANN A ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8502 N NEVADA ST, #2, SPOKANE, WA 99208-7395
(509) 487-2958
(509) 487-3025
Mailing address
14819 E 22ND AVE, SPOKANE VALLEY, WA 99037-9496
(509) 924-9840
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2100
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA-2100
ID PTA LICENSE
ID
Enumeration date
06/29/2007
Last updated
10/22/2007
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