Individual
BRIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
961 W 18TH ST, CHICAGO, IL 60608-2362
(312) 513-0170
Mailing address
961 W 18TH ST, CHICAGO, IL 60608-2362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/22/2020
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