Individual
MS. KATHLEEN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
320 E KING ST, SUITE B, KING, NC 27021-9162
(336) 918-7476
(336) 983-4915
Mailing address
177 LEEDS LN, KING, NC 27021-8800
(336) 983-7091
(336) 983-4915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079TO
PHYSICAL THERAPY
NC
01
—
49399
PHYSICAL THERAPY
NC
01
—
D7126
PHYSICAL THERAPY
NC
Enumeration date
07/11/2006
Last updated
10/27/2009
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