Most Relevant Information
Provider Data
| NPI Number: | 1003421843 |
| Provider Name: | ANITA M TERRANOVA PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P161035801 |
Most Important Dates
| Enumeration Date: | 09/09/2020 |
| Last Updated: | 09/23/2021 |
Provider Practice Location
13430 NW QUARTERHORSE WAY
BREMERTON
WA
983123524
Practice Location Phone/Fax
| Phone: | 3608652654 |
| Fax: |
Provider Mailing Location
13430 NW QUARTERHORSE WAY
BREMERTON
WA
983123524
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |