Individual
CHARLIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
39575 W 10 MILE RD STE 201, NOVI, MI 48375
(248) 516-7250
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018524
MI
2251S0007X
Sports Physical Therapist
5501018524
MI
Other
Enumeration date
01/23/2018
Last updated
06/12/2024
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