Individual
STEVEN BLAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2671 SW 4TH AVE, ONTARIO, OR 97914-1833
(541) 889-2221
(541) 889-3437
Mailing address
740 SYRINGA SPRINGS DR, FRUITLAND, ID 83619-5023
(801) 995-1853
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
62625
OR
2251X0800X
Orthopedic Physical Therapist
6588519-2401
UT
2251X0800X
Orthopedic Physical Therapist
PT-5566
ID
Other
Enumeration date
07/05/2007
Last updated
05/09/2018
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