Individual
MATTHEW PAUL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11483 PETREL AVE, WEEKI WACHEE, FL 34614-2730
(585) 451-3731
Mailing address
11483 PETREL AVE, WEEKI WACHEE, FL 34614-2730
(585) 451-3731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11815
FL
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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