Individual
GERALDINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1390 KING TREE DR, DAYTON, OH 45405-1401
(391) 279-3711
Mailing address
8451 POST TOWN RD, TROTWOOD, OH 45426-4451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 00706
OH
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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