Individual
MRS. HALIE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
Mailing address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004562
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497050611
—
IA
01
—
P01364303
RR MEDICARE
IA
Enumeration date
01/19/2011
Last updated
11/24/2014
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