Individual
ELIZABETH A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
601 N 1ST ST, STAYTON, OR 97383-1704
(503) 769-3123
Mailing address
314 APPLE ST, SILVERTON, OR 97381-2002
(503) 551-0194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8609
OR
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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