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Individual

MR. THEODORE B ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.,D.P.T.

Contact information

Practice address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-7840
Mailing address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-7840

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2881
HI

Other

Enumeration date
08/30/2006
Last updated
01/27/2009
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