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Individual

MR. MICHAEL TIMOTHY ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
255 W MOANA LN STE 104, RENO, NV 89509-4942
(775) 525-0270
Mailing address
2840 ALBAZANO DR, SPARKS, NV 89436-7050
(775) 232-6321

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0801819438
NV

Other

Enumeration date
10/07/2010
Last updated
11/23/2015
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