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MR. DAMON ANDERSON P.T.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1689736480

Individual Registrant:
MR. DAMON  ANDERSON P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
980 CASS ST #A MONTEREY, CA 93940-4548 US
Tel: 831-375-1131  Fax: 831-375-1520

Contact information for business:
24885 OUTLOOK DR  CARMEL, CA 93923-8934 US
Tel: 831-375-1135  Fax: 831-375-1520

Registration Information:
NPI: 1689736480
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
CAPT11606

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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