Organization
WADE ANDERSON, PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WADE ANDERSON P.T. (OWNER)
(541) 767-3794
Entity
Organization
Contact information
Practice address
655 E 11TH AVE, SUITE 5, EUGENE, OR 97401-3621
(541) 683-3375
(541) 683-3419
Mailing address
655 E 11TH AVE, SUITE 5, EUGENE, OR 97401-3621
(541) 683-3375
(541) 683-3419
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4386
OR
Other
Enumeration date
08/23/2007
Last updated
11/24/2008
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