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Individual

MR. LEON R ANDERSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3365 RICHMOND RD, STE 110, BEACHWOOD, OH 44122-4116
(216) 593-7070
(216) 593-7074
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05227
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2452180
OH
05
7212196
NC
01
H643910
MEDICARE
OH
05
TH1794
SC
Enumeration date
06/09/2006
Last updated
04/29/2020
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