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KENNETH DANIEL ANDERS

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1346714540

Individual Registrant:
 KENNETH DANIEL ANDERS 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
915 GORDON AVE  THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2000  Fax: --

Contact information for business:
915 GORDON AVE  THOMASVILLE, GA 31792-6614 US
Tel: --  Fax: --

Registration Information:
NPI: 1346714540
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
GAPTA03556

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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