Individual
KENNETH WADE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
250 S VOZACK LN STE C, TUCSON, AZ 85748-4539
(520) 278-5202
(800) 392-0662
Mailing address
250 S VOZACK LN STE C, TUCSON, AZ 85748-4539
(520) 278-5202
(800) 392-0662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-009417
AZ
Other
Enumeration date
06/21/2007
Last updated
04/30/2024
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