Individual
MR. PAUL D. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
75 W MAIN STREET CT STE 100, ALPINE, UT 84004-5602
(801) 216-4298
(801) 216-4298
Mailing address
75 W MAIN STREET CT STE 100, ALPINE, UT 84004-5602
(801) 216-4298
(801) 216-4298
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4777580-2401
UT
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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