Individual
GREGORY STEPHEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5803 W NORTHERN AVE STE 110, GLENDALE, AZ 85301-1737
(623) 295-3699
(623) 322-0654
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32871
AZ
Other
Enumeration date
04/13/2023
Last updated
06/26/2023
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