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Individual
ROBERT B ANDERSON III
Active
Individual
ROBERT B ANDERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40AQ01365300
NJ
225100000X
Physical Therapist
Primary
PT010564
GA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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