Individual
MR. MICHAEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
355 SADDLEBROOK CIR, LEWISVILLE, NC 27023-8213
(336) 946-1388
Mailing address
355 SADDLEBROOK CIR, LEWISVILLE, NC 27023-8213
(336) 946-1388
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
1130
NC
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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