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Individual

MR. GLENN DOUGLAS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
909 S 336TH ST STE 100, FEDERAL WAY, WA 98003-7394
(253) 661-5166
Mailing address
37303 34TH AVE S, AUBURN, WA 98001-8701
(253) 592-9189

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160071875
WA

Other

Enumeration date
06/21/2024
Last updated
06/21/2024
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