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Individual
KIM ALAN ANDERSON
Active
Individual
KIM ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2787
MN
2251E1200X
Ergonomics Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
NULL
Other
Enumeration date
01/30/2007
Last updated
03/19/2020
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