Individual
DEBORAH A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT CEES
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935
(920) 923-7940
Mailing address
421 CAMELOT DR, FOND DU LAC, WI 54935
(920) 923-7940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4520-024
WI
Other
Enumeration date
06/14/2006
Last updated
08/10/2007
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