Individual
MS. LESLIE KAREN RANDOLPH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
163 VAN BUREN RD, SUITE 1, CARIBOU, ME 04736-3567
(207) 498-1204
(207) 498-1355
Mailing address
PO BOX 262, 11 RAYMOND JOSEPH LANE, CARIBOU, ME 04736-2046
(207) 498-1204
(207) 498-1355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
950
ME
Other
Enumeration date
01/31/2007
Last updated
08/08/2012
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