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Individual

ANANDI COURTNEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT, LMT

Contact information

Practice address
2885 ESSEX RD, ESSEX, NY 12936-2317
(518) 528-9958
Mailing address
PO BOX 23, WILLSBORO, NY 12996-0023
(518) 528-9958

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
018647
NY
225X00000X
Occupational Therapist
Primary
010698
NY
225X00000X
Occupational Therapist
072.0091394
VT

Other

Enumeration date
05/30/2014
Last updated
05/30/2014
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