Individual
DANIEL STEPHEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65098
OR
225100000X
Physical Therapist
PT60257881
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205105202
—
WA
01
—
G8968737
MEDICARE
WA
01
—
P01153274
RR MEDICARE
OR
Enumeration date
12/20/2011
Last updated
10/10/2023
Update your record
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