Most Relevant Information
Provider Data
| NPI Number: | 1003502162 |
| Provider Name: | ANNA VANCAMP PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 0015239 |
Most Important Dates
| Enumeration Date: | 04/12/2023 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
722 S 8TH ST
CANON CITY
CO
812124906
Practice Location Phone/Fax
| Phone: | 7193454097 |
| Fax: | 7192491516 |
Provider Mailing Location
722 S 8TH ST
CANON CITY
CO
812124906
Provider Mailing Phone/Fax
| Phone: | 7193454097 |
| Fax: | 7192491516 |