Individual
DEBORAH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13177 RAMONA BLVD, IRWINDALE, CA 91706-3855
(626) 960-4020
Mailing address
743 WORCESTER AVE, APT #2, PASADENA, CA 91104-4247
(626) 795-1601
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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