Individual
RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3106 S W S YOUNG DR, SUITE A 102, KILLEEN, TX 76542-2000
(254) 628-8391
Mailing address
206 CLAREMONT DR, BELTON, TX 76513-8044
(254) 933-7960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020541
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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