Individual
DR. NICHOLAS WILLIAM ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3627 E INDIAN SCHOOL RD STE 102, PHOENIX, AZ 85018-5159
(419) 271-3235
(480) 452-1687
Mailing address
9918 E THEIA DR, MESA, AZ 85212-8494
(480) 242-3395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31768
AZ
Other
Enumeration date
06/01/2021
Last updated
02/14/2022
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