Individual
JASON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 19TH ST NE, JAMESTOWN, ND 58401-2541
(701) 252-5660
Mailing address
7274 108TH AVE SE, LAMOURE, ND 58458-9409
(701) 883-5464
(701) 883-5464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105
ND
Other
Enumeration date
11/27/2007
Last updated
04/01/2013
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