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KENNETH DANIEL ANDERS
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1346714540
Individual Registrant: KENNETH DANIEL ANDERS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
915 GORDON AVE THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2000 Fax: --
Tel: 229-228-2000 Fax: --
Contact information for business:
915 GORDON AVE THOMASVILLE, GA 31792-6614 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1346714540
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | GA | PTA03556 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
