Individual
MR. GEORGE C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
24020 132ND AVE SE, KENT, WA 98042-5108
(253) 631-1933
(253) 631-2094
Mailing address
24020 132ND AVE SE, KENT, WA 98042-5108
(253) 631-1933
(253) 631-2094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 8060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196936
L & I
WA
05
—
8334674
—
WA
Enumeration date
11/01/2006
Last updated
07/08/2007
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