Individual
MR. PETER ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T./D.P.T.
Contact information
Practice address
1711 GOLD DR S, SUITE 120, FARGO, ND 58103-6416
(701) 451-9417
(701) 298-0066
Mailing address
1711 GOLD DR. S., SUITE 120, FARGO, ND 58103-6416
(701) 451-9417
(701) 298-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1625
ND
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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