Individual
MR. DAVID DWYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1618 S MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
(208) 884-8984
Mailing address
1618 S MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
(208) 884-8984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-612
ID
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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