Individual
MR. WILLIAM JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 204-7400
Mailing address
952 WILSHIRE DR, AMHERST, OH 44001-1153
(440) 204-7400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-05840
OH
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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