Individual
THERESA J. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
2425 N COURTENAY PKWY UNIT 4, MERRITT ISLAND, FL 32953-4100
(407) 432-9193
Mailing address
555 JACKSON AVE APT 101, CAPE CANAVERAL, FL 32920-2366
(407) 432-9193
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4016
FL
Other
Enumeration date
06/10/2010
Last updated
07/10/2019
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