Individual
MR. DALLAS CRUZ ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 JEFFERSON ST, BICKNELL, IN 47512-2618
(812) 881-7898
Mailing address
206 JEFFERSON ST, BICKNELL, IN 47512-2618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003386A
IN
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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