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Individual
KELSEY ANDERWALD
Active
Individual
KELSEY ANDERWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048334
NY
225100000X
Physical Therapist
070.025845
IL
225100000X
Physical Therapist
Primary
1279342
TX
225100000X
Physical Therapist
13243
CT
225100000X
Physical Therapist
299915
CA
225100000X
Physical Therapist
40QA01982700
NJ
225100000X
Physical Therapist
5501019984
MI
225100000X
Physical Therapist
J1-0014418
DE
225100000X
Physical Therapist
PT03404
RI
225100000X
Physical Therapist
PT37386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1279342
STATE LICENSE
TX
Enumeration date
02/26/2020
Last updated
03/15/2022
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