Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Kantack Anderson, PHYSICALTHERAPIST

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003344003

Charlene Kantack Anderson, PHYSICALTHERAPIST is a Physical Medicine & Rehabilitation Physician in Newbury Park, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

238 Dickenson Ave
Newbury Park, CA 91320-4326
Phone: (805) 551-5420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT16045 (CA)

Record details

NPI number1003344003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Other providers in Newbury Park