Individual
LYDIA D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3224 ORCHARD AVE, EDMOND, OK 73012-9645
(719) 244-8147
(719) 244-8147
Mailing address
1180 BEACON ST, STE 6C, BROOKLINE, MA 02446-3806
(719) 244-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23611
MA
Other
Enumeration date
12/08/2017
Last updated
07/05/2019
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