Provider Demographics
NPI:1053025049
Name:REMANESES, ANNA MAE (PT)
Entity type:Individual
Prefix:
First Name:ANNA MAE
Middle Name:
Last Name:REMANESES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:O3 SHERBROOK APT
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3442
Mailing Address - Country:US
Mailing Address - Phone:917-769-4003
Mailing Address - Fax:
Practice Address - Street 1:2230 N TRIPHAMMER RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-6513
Practice Address - Country:US
Practice Address - Phone:607-266-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist