Individual
GORDON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 N MAIN ST, SOUTH YARMOUTH, MA 02664-2083
(508) 394-3514
Mailing address
41 GRAND OAK RD, FORESTDALE, MA 02644-1202
(978) 846-2316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8403
MA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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