Individual
COURTNEY ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(651) 231-3593
Mailing address
1900 RICHAL DR, SAINT PAUL, MN 55125-1536
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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