Individual
DEIDREANN ANITA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 WHEAT RIDGE DR, EPHRATA, PA 17522-8558
(904) 599-7489
Mailing address
333 WHEAT RIDGE DR, EPHRATA, PA 17522-8558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OP009499
PA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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