Individual
MR. JAMES LEROY ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1910 S 72ND ST, STE 302, OMAHA, NE 68124-1734
(402) 391-2635
(402) 391-0326
Mailing address
1910 S 72ND ST, STE 302, OMAHA, NE 68124-1734
(402) 391-2635
(402) 391-0326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2346
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1209007
—
IA
01
—
39962
BCBS
NE
Enumeration date
03/31/2006
Last updated
07/08/2007
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