Provider Demographics
NPI:1699289371
Name:SAADAT, ANAHITA MARIA (DPT, CSCS)
Entity type:Individual
Prefix:DR
First Name:ANAHITA
Middle Name:MARIA
Last Name:SAADAT
Suffix:
Gender:F
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 CARMALT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519-1201
Mailing Address - Country:US
Mailing Address - Phone:862-219-3078
Mailing Address - Fax:
Practice Address - Street 1:1065 CARMALT ST APT 2
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1201
Practice Address - Country:US
Practice Address - Phone:862-219-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0244982251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist