IndividualActive
Anna Vanegdom, PTA
NPI 1104477637 · Physical Therapy Assistant · Anacortes, WA
Provider details
- NPI number
- 1104477637
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
Mailing address
12590 Whitecap Ln
Anacortes, WA 98221-8778
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2019-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.