Organization
OLVE PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WILLIAM ANDERSEN PT, DPT (OWNER/PHYSICAL THERAPIST)
(480) 242-3395
Entity
Organization
Contact information
Practice address
9918 E THEIA DR, MESA, AZ 85212-8494
(480) 242-3395
Mailing address
9918 E THEIA DR, MESA, AZ 85212-8494
(480) 242-3395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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