Provider Demographics
NPI:1972325348
Name:KEFFER, ANNA K (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:K
Last Name:KEFFER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 SW 24TH PL APT 205
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1132
Mailing Address - Country:US
Mailing Address - Phone:610-428-8743
Mailing Address - Fax:
Practice Address - Street 1:11870 W STATE ROAD 84 STE C3
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-3811
Practice Address - Country:US
Practice Address - Phone:954-228-9842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist