Individual
CORY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2665 DAISY LN, RICHARDSON, TX 75082-3421
(972) 415-5336
Mailing address
2665 DAISY LN, RICHARDSON, TX 75082-3421
(972) 415-5336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120772
TX
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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