Individual
LESLIE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880
(715) 817-7100
(715) 817-7039
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.011396
IL
363A00000X
Physician Assistant
Primary
4475
WI
Other
Enumeration date
04/06/2007
Last updated
08/06/2018
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