Individual
KENNETH M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
823 KENNEDY ST NE, WASHINGTON, DC 20011
(860) 447-0417
(860) 447-2193
Mailing address
823 KENNEDY ST NE, WASHINGTON, DC 20011-2730
(608) 230-1528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25392
MD
2251X0800X
Orthopedic Physical Therapist
008333
CT
Other
Enumeration date
06/23/2008
Last updated
08/08/2018
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