Cardosa Gray, Anna
Cardosa Gray, Anna is an individual health care provider with primary practice located at 2302 N 15Th Ave , Phoenix AZ 85007-1201. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Cardosa Gray, Anna can be contacted via phone (623) 242-6908.Contact Information
Primary practice address
2302 N 15Th Ave
Phoenix AZ 85007-1201
Phone: (623) 242-6908
Fax: (623) 242-6909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | LPT6191 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | LPT6191 | Arizona |
Profile Details
| NPI number | 1376536250 |
|---|---|
| LBN Legal business name | Cardosa Gray, Anna |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Mar 27th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376536250 | NPPES |
| Arizona | Other | 811415 | ARIZONA HEATHCARE COST CONTAINMENT SYSTEM (AHCCCS) |
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