Individual
REBECCA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NW 10TH AVE STE 104, BOCA RATON, FL 33486-1344
(561) 807-7873
Mailing address
1500 NW 10TH AVE STE 104, BOCA RATON, FL 33486-1344
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY462
FL
235Z00000X
Speech-Language Pathologist
SA1933
FL
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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