Organization
DELTA PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization
DELTA PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDWARD ANDERSON PT (OWNER, PHYSICAL THERAPIST)
(419) 822-4100
Entity
Organization
Contact information
Practice address
816 MAIN STREET, SUITE A, DELTA, OH 43515-1462
(419) 822-4100
(419) 822-0334
Mailing address
816 MAIN STREET, SUITE A, DELTA, OH 43515-1462
(419) 822-4100
(419) 822-0334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2467174
—
OH
Enumeration date
05/03/2007
Last updated
12/17/2014
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